MyMedR

An Obstructed Malignant Inflammatory Myofibroblastic Tumour of the Rectum

Zainal Abidin ZA, Azizan N, Hayati F, Mra A, Mohd Azman ZA

Kathmandu Univ Med J (KUMJ), 2018 7 1;16(63):272-274.

PMID: 31719321

Inflammatory myofibroblastic tumour is rare but more common in children. It shows an immunophenotypic features of myofibroblastic differentiation, hence bearing neoplastic potential. The diagnosis is challenging especially if it involves rectum. Surgical resection is the mainstay of treatment if clinically obstructed. A 65-year-old gentleman presented with intestinal obstruction, which then followed by a hartmann's procedure. Final diagnosis is a rare case of inflammatory myofibroblastic tumour of the rectum. We discuss its genetic involvement with a literature review.

Re: benign free air under the diaphragm: a case of pneumatosis cystoides coli

Hayati F, Wong MJJ, Jailani RF, Ng CY

ANZ J Surg, 2021 10;91(10):2226.

PMID: 34665495 DOI: 10.1111/ans.17088

Colo-appendico-duodenal fistula: Rare presentation of extrapulmonary tuberculosis

Gan DEY, Sibin R, Payus AO, Hayati F

Clin Case Rep, 2021 Oct;9(10):e04797.

PMID: 34631061 DOI: 10.1002/ccr3.4797

A colo-appendico-duodenal fistula is a rare occurrence that results from extrapulmonary tuberculosis (TB) complications, especially in the endemic region.

Fulltext Spontaneous Omental Infarction: An Unusual Etiology of Abdominal Pain

Khairuddin A, Teng WW, Azizan N, Hayati F, Sahid NA, Kadir F

Kathmandu Univ Med J (KUMJ), 2019 10 1;17(68):347-349.

PMID: 33311048

A 49-year-old lady with previous scars complained of acute abdominal pain for two days. Her right hypochondrium was tender and guarding upon assessment. The laboratory investigations were unremarkable. Due to a diagnostic incongruity, computed tomography of the abdomen was performed showing a suspicious lesion at anterolateral aspect of the ascending colon. Surgical intervention was decided and intraoperative finding was consistent with spontaneous omental infarction. Omentectomy was undertaken and final histology was compatible with the intraoperative diagnosis. Although it is exceptional, omental infarction should be considered as part of the differential diagnoses of right-sided acute abdominal pain with normal laboratory investigations. This case highlights its unexpected discovery and we describe its literature reviews.

Can First-trimester AST to Platelet Ratio Index Scores Predict HELLP Syndrome?

Soe MZ, Hayati F, Abdul Rahim SSS

J Coll Physicians Surg Pak, 2022 Mar;32(3):409-410.

PMID: 35148605 DOI: 10.29271/jcpsp.2022.03.409

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Diagnostic Value of Preoperative Haemoglobin, Albumin, Lymphocyte and Platelet (HALP) Score in Predicting Tumour Budding in Colorectal Cancer

Hidrus A, Abdul Rahim SSS, Zakaria AD, Hayati F

J Coll Physicians Surg Pak, 2022 Nov;32(11):1514-1515.

PMID: 36377032 DOI: 10.29271/jcpsp.2022.11.1514

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Sino-orbital metastasis as the initial presentation of advanced breast cancer

Muhammad-Ikmal MK, Masnon NA, Hayati F, Wan HItam WH

BMJ Case Rep, 2022 Nov 11;15(11).

PMID: 36368736 DOI: 10.1136/bcr-2022-250108

A woman in her 70s presented with reduced vision in her left eye, progressive narrowing of right eye opening for 6 months and anosmia. On examination, she had right enophthalmos and pseudoptosis with inferior globe dystopia. Her visual acuity was 6/9 and nil light perception in the right and left eyes, respectively. Extraocular muscle examination showed limited right up gaze. Funduscopy showed a normal right optic disc and left optic disc atrophy. Systemic examination revealed left breast ulceration with skin tethering. CT revealed an infiltrative mass invading the ethmoidal sinuses, frontal sinuses and both orbits. A histological diagnosis of infiltrative ductal breast carcinoma was made after nasal endoscopic and left breast biopsy. She underwent palliative chemoradiotherapy and survived with good disease control after 1 year. Metastatic carcinoma is a differential diagnosis of a sino-orbital mass, and comprehensive clinical assessment is indicated for all patients presenting with non-acute eye injury.

Fulltext Intestinal knot in acute Meckel's diverticulitis

Ezrien DE, Hayati F, Nik Lah NAS, Zakaria AD

BMJ Case Rep, 2019 Nov 24;12(11).

PMID: 31767613 DOI: 10.1136/bcr-2019-232611

Fulltext Three-year Survival of Women with Breast Cancer in Basrah, Iraq

Abdul Rahim SSS, Hayati F, Azhar ZI

Oman Med J, 2021 Nov;36(6):e327.

PMID: 34912572 DOI: 10.5001/omj.2021.90

Comment to: Diagnostic Value of Serum Gastrin and Epidermal Growth Factor to the Gastric Ulcer Complicated with Upper Gastrointestinal Hemorrhage

Hayati F, Abdul Rahim MA, Abdul Rahim SSS

J Coll Physicians Surg Pak, 2021 Dec;31(12):1522-1523.

PMID: 34794305 DOI: 10.29271/jcpsp.2021.12.1522

Null.

Fulltext Dieulafoy's lesion: an unexpected and rare cause of upper gastrointestinal bleeding

Rajanthran SK, Singh HC, Than DJ, Hayati F

BMJ Case Rep, 2020 Dec 23;13(12).

PMID: 33361139 DOI: 10.1136/bcr-2020-240905

Fulltext Letter to A rare cause of acute abdomen: Isolated necrosis of the cecum

Hayati F, Dzulkarnaen Zakaria A, Azizan N, Kadir F, Subramaniam S

Turk J Surg, 2021 Jun;37(2):195-196.

PMID: 37275184 DOI: 10.47717/turkjsurg.2021.5115

Fulltext De Garengeot hernia: a rare case in an elderly woman and a review of operative approaches

Zainudin S, Hayati F, Arumugam T, Ho KY

BMJ Case Rep, 2021 Apr 16;14(4).

PMID: 33863769 DOI: 10.1136/bcr-2020-240557

De Garengeot hernia is a rare finding of the vermiform appendix inside a femoral hernia sac. We report this occurrence in a 73-year-old woman who presented in the acute setting. There are no standardised surgical approaches and many different techniques have been described in case reports in the literature. We conducted a literature review of and found a total of 113 cases with addition of our case 114 unique cases were included for analysis. Inguinal incision was most cited (n=89). Concomitant laparotomy was needed in 13 patients, however, the association between type of incision and additional laparotomy was not significant (p>0.05). Laparoscopic surgery alone was performed in eight patients. Nine patients had hybrid surgery. The most common hernia repair was through suture technique with non-absorbable material (n=31). Mesh repair was used in 28 cases. More laparoscopic surgeries were done when the disease was diagnosed preoperatively (7/39, p<0.05).

Fulltext Single-stage inferior vena caval intravenous leiomyomatosis excision

Aimanan K, Koay KL, Hayati F, Tajri HM

BMJ Case Rep, 2022 Aug 11;15(8).

PMID: 35953149 DOI: 10.1136/bcr-2022-250261

Intravascular tumour extension can occur in many different types of cancer. Those with the highest tendency include renal cell carcinoma, adrenal cortical carcinoma and hepatocellular carcinoma. Inferior vena cava (IVC) tumour thrombus in gynaecological malignancy is rarely reported. We present a report on a female patient with extensive IVC tumour thrombus (intravenous leiomyomatosis) with concurrent intrauterine leiomyomatosis. She underwent a single-stage procedure, involving laparotomy and a sternotomy to remove her pelvic tumour, as well as the intracaval and intracardiac thrombus. The clinical presentation and management of this rare tumour will be detailed in this case report.

Man with Acute Abdomen

Hayati F, Johari NF, Sultan MAH, Febriany DC

Oman Med J, 2023 Jul;38(4):e541.

PMID: 37545748 DOI: 10.5001/omj.2023.108

Fulltext Ectopic Papillary Thyroid Carcinoma of the Posterior Pharynx

Lee CH, Hayati F, Azizan N, Sharif SZ

Iran J Otorhinolaryngol, 2023 Nov;35(131):325-328.

PMID: 38074483 DOI: 10.22038/IJORL.2023.73099.3471

INTRODUCTION: Ectopic thyroid is an uncommon condition resulting from the aberrant development of the normal thyroid gland and is usually found along the thyroglossal tract: lingual, submandibular, thyroglossal cysts, intra-tracheal and mediastinal, or, on rare occasions, in the adrenal gland, gallbladder, gastrointestinal tract, pancreas, and struma ovarii.

CASE REPORTS: We describe a novel case where primary papillary thyroid carcinoma (PTC) was found after a trans-oral excision of a tumor containing ectopic thyroid tissue at the posterior pharynx, an area not known to be a location for ectopic thyroid. Delays due to the COVID-19 pandemic resulted in regional cervical metastases and multifocal PTC. The female patient successfully underwent total thyroidectomy, selective cervical and central lymph node dissection, followed by adjuvant radioactive iodine ablation, with no evidence of distant metastases.

CONCLUSIONS: Ectopic thyroid tissue is uncommon and may be in the posterior pharynx. The principles of management remain those of differentiated thyroid malignancy: complete surgical resection of any tumor focus, total thyroidectomy, and node dissection of involved lymph nodes, followed by adjuvant radioactive iodine in iodine-sensitive tumors.

Fulltext Trapped cystofix: Laparoscopic modality to untie

Muhamad A, Johan S, Khairuddin A, Hayati F, Payus AO, Zainal Abidin ZA

Urol Case Rep, 2021 Jan;34:101448.

PMID: 33088720 DOI: 10.1016/j.eucr.2020.101448

Suprapubic catheterization (SPC) is a temporary measure to relieve acute urinary retention (AUR). Despite being effective, it can lead to complications such as colon perforation, haematuria, and bladder wall spasm. We present a 52-year-old lady with cystofix for underlying urethral stricture presented with AUR. A new SPC was inserted to drain the urine. However, the SPC had looped and entangled with her cystofix, and laparoscopic removal of cystofix and insertion of a new SPC was done. In conclusion, trapped cystofix to the SPC tube is a potential complication during SPC insertion that can be avoided with appropriate care.

Fulltext Jejunojejunal intussusception secondary to inflammatory fibroid polyp: A rare cause of small bowel obstruction

Tan JS, Teah KM, Hoe VC, Khairuddin A, Sellapan H, Hayati F, et al.

Ann Med Surg (Lond), 2020 Nov;59:251-253.

PMID: 33088499 DOI: 10.1016/j.amsu.2020.10.009

Background: Adult intussusception is a relatively rare clinical entity. The majority of cases of intussusception in adults are due to a pathologic condition that serves as a lead point and requires surgery. Small bowel intussusception is usually caused by benign or malignant neoplasms appearing at the head of the invagination. Inflammatory fibroid polyp (IFP) of the small bowel is an unusual benign neoplastic lesion that has been rarely reported to cause intussusception, especially in the jejunum.

Case presentation: We present a rare case of adult intussusception who presented with a triad of intestinal obstruction. Computed tomography revealed small bowel intussusception with bowel ischemia. Intraoperatively, she required resection of the small bowel and primary anastomosis. Macroscopic examination revealed a single pedunculated polyp, which is the lead point of intestinal obstruction and confirmed histologically.

Conclusion: Inflammatory fibroid polyp should be considered as a cause of intussusception among adults with small bowel obstruction.

Fulltext Diagnostic challenge in diagnosing bilateral breast metastases from mediastinal neuroendocrine tumor: A case report

Chan KH, Lee CH, Sharif SZ, Hayati F, Sallapan S

Ann Med Surg (Lond), 2020 Dec;60:438-441.

PMID: 33251002 DOI: 10.1016/j.amsu.2020.11.035

Background: Metastatic neuroendocrine tumours (NETs) to the breast are very rare entities.

Case presentation: A 26-year-old lady presented with anterior neck swelling with symptoms of superior vena cava syndrome for 6 months. Imaging study revealed a mediastinal mass which was preceded with core biopsy which was consistent with high-grade small cell NETs. Despite second-line adjuvant chemotherapy and radiotherapy, her disease became advanced which was confirmed via restaging scan. There were bilateral breast lesions discovered during the scan which was deemed to be metastatic NETs histologically. Despite prompt initiation of treatment, she succumbed 1 year after the radiotherapy due to disease progression.

Conclusion: High suspicion of an index is needed for diagnosis when patients with known primary NETs present with suspicious breast lesions. Triple assessment is mandatory, however histopathology assessment and immunohistochemistry staining are the mainstay of diagnosis.

Fulltext Trapped heart in heavily calcified pericardium

Zaimi MA, Mamat AZ, Ghazali MZ, Zakaria AD, Sahid NA, Hayati F

Oxf Med Case Reports, 2020 Oct;2020(10):omaa083.

PMID: 33133617 DOI: 10.1093/omcr/omaa083

Constrictive pericarditis is a disabling disease of the heart, which causes cardiac diastolic dysfunction. We present a case of a 44-year-old gentleman with a history of blunt chest trauma who presented with constrictive pericarditis with right-sided heart failure. Imaging studies revealed a calcified pericardium. He underwent an uneventful pericardiectomy. Calcification is common yet rare if it involves the pericardium. It normally occurs following fibrosis and adhesion which are associated with the chronicity of the disease, hence creating more challenge to the operating surgeon in the pericardiectomy procedure.

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