This case report describes the successful use of prostate artery embolization (PAE) in a 75-year-old male with benign prostatic hyperplasia (BPH) and severe lower urinary tract symptoms (LUTS) that did not respond to medical therapy. Despite initial treatments, patient had persistent significant enlargement. PAE was chosen for its minimally invasive nature advantages over traditional surgery. After procedure, experienced improvements, including reduced volume, decreased post-void residual...

Scrofuloderma, a rare form of cutaneous tuberculosis (CTB), typically arises from underlying tuberculous lymphadenitis. Although CTB comprises only 1%-2% extrapulmonary cases, its burden may be underestimated in endemic countries, such as Nepal, leading to delayed diagnosis and increased morbidity. We present the case 14-year-old girl with painless, ulcerated lesion intermammary region for 3 months, histopathologically diagnosed scrofuloderma.

ABSTRACT Cutis verticis gyrata (CVG) is a rare dermatological condition characterized by thickened and folded scalp skin, often discovered incidentally during neuroimaging for unrelated issues. Clinicians should remain vigilant consider multidisciplinary approach to recognize manage potential comorbidities, emphasizing the importance of thorough physical examination beyond primary neurological concerns.

Canal of Nuck hydrocele is a rare condition in females. Due to mild symptoms, it may be neglected, leading complications, including infection and bleeding. The rarity this condition, coupled with its potential for adverse outcomes, necessitates high index suspicion among treating surgeons diagnose promptly manage the case. We present five cases canal hydrocele. prospectively studied admitted our surgical department over two years. Three patients presented painless, non-tender inguinal...

Abstract Background Imidacloprid, a neonicotinoid insecticide, is widely used in agricultural settings. Consequently, cases of accidental and suicidal poisoning are increasingly seen clinical practice. Although with varied presentations toxicological profiles have been reported, standard management principles lacking. Case presentation We present case Imidacloprid 25-year-old previously healthy indigenous Tamang female without classic toxidrome requiring ventilatory support, complicated by...

Bipolar fractures involving segmental of the lateral and proximal clavicles are exceptionally rare, with only isolated cases documented in literature. Such may easily be overlooked during initial presentation. We present case a 35-year-old male deformation middle segment clavicle following road traffic accident (RTA). On radiography, injury was initially thought to fracture combined sternoclavicular joint dislocation but later changed bipolar intraoperatively. The patient had an uneventful...

Patent foramen ovale (PFO) is a common congenital heart defect that can contribute to cryptogenic stroke, particularly in younger patients lacking traditional risk factors. The present study describes the case of 14‑year‑old male patient who experienced an acute ischemic stroke without identifiable atheroembolic Comprehensive diagnostic imaging revealed marked right‑to‑left shunt through PFO, identified as probable cause stroke. was treated with dual antiplatelet therapy and subsequently...

The hydrocele of the canal Nuck is a rare cause bilateral inguino-labial swelling. Due to its rarity, lack clinician knowledge regarding this entity, and paucity relevant literature, it can be misdiagnosed often mistreated. We present case two-year-old female with swelling who was diagnosed based on history clinical examination. patient underwent excision high pouch ligation, she experienced an uneventful recovery. Bilateral in females. Diagnosis made findings. In cases diagnostic...

Osteochondromas, the most common benign tumors of appendicular skeleton, are uncommonly found in spine. Although cervical spine is frequent location spinal osteochondromas, lower less commonly affected.We present case a 16-year-old female adolescent who presented with hard palpable mass over nape neck more toward right side associated non-radiating pain for 3 years. Radiography and computed tomography (CT) revealed an expansile bone lesion arising from sixth spinous process (C6). En-bloc...

Background: Hemangioma is a common benign tumor resulting from abnormal blood vessel growth but infrequent in the breast. Preoperatively, it challenging to diagnose breast hemangioma using clinical and conventional imaging modalities because of their lack pathognomonic characteristics. An excisional biopsy can be used for tissue diagnosis cases diagnostic uncertainty. Case presentation: The authors report case cavernous 15-year-old adolescent female complaining rapidly enlarging firm mobile...

Introduction: The career choice of a medical graduate is often complex process with multiple factors playing part. Neurosurgery in Nepal gradually growing and there huge interest the academia to draw more graduates into neurosurgery. There paucity data regarding from Nepal. aim this study was determine potential barriers facilitators for choosing future as neurosurgeon. Methods: A descriptive cross-sectional carried out on all recent last two weeks their internship 2021 three colleges...

Abdominal cocoon (AC) or Encapsulating Peritoneal Sclerosis (EPS) is a rare cause of bowel obstruction and due to non-specific presentation, it can be misdiagnosed often mistreated.We present the case 42 years male with history suggestive complete small (SBO) without pulmonary tuberculosis (TB) peritoneal dialysis. CT imaging as well intraoperative finding membrane encasing led diagnosis abdominal cocoon.Abdominal idiopathic secondary dialysis, tuberculosis, other causes. Patients usually...

Acute appendicitis is a common surgical emergency marked by appendix inflammation, presenting as acute abdominal pain and typically treated with appendectomy. The authors report rare case of disseminated appendicular lymphoma appendicitis. emergency.

Isolated pancreatic injury following blunt abdominal trauma is rare, and the absence of definite clinical signs symptoms may delay diagnosis management. We present case a seven-year-old girl with history progressive, periumbilical pain multiple episodes non-bilious, non-blood mixed vomiting road traffic accident. Computed tomography (CT) imaging revealed an isolated grade three managed conservatively. The patient usually presents epigastric tenderness or without rise in enzyme levels. CT...

Encysted spermatic cord hydrocele is a rare anomaly characterized by obstruction of processus vaginalis closure. Clinically, it presents as swelling in the inguinal region extending to upper scrotum and does not communicate with peritoneal cavity. It often mistaken for indirect hernias, lymphadenopathy, undescended testis, primary tumors infants children, making diagnosis challenging. We report cases five male patients aged nine months 12 years who presented painless on right side scrotal...

Timely institution of pre-hospital therapies aimed at damage control and the appropriately timed decision transfer to higher centers for definitive neurosurgical management are crucial in determining outcome patients following traumatic brain injury. This study evaluate factors care delay with

Abstract Background Scrub typhus, caused by Orientia tsutsugamushi , rarely leads to central nervous system involvement. Although intracerebral bleeding is rare due endemicity and a significant proportion of underdiagnoses, it should be considered noteworthy differential diagnosis in endemic regions patients with relevant history clinical findings. Case presentation We present the case 40-year-old Nepali woman who visited emergency department complaints left-sided weakness for 6 hours an...

Sickle cell disease (SCD) is the most common hemoglobinopathy caused by an autosomal recessive genetic disorder leading to increased morbidity and mortality rates. SCD prevalent in Tharu community lowland (Terai) region of Nepal. Prevalence metabolic syndrome among adults with poorly studied.

Aggressive thoracic hemangiomas are rare, benign tumors that extend into the spinal canal and cause neurological symptoms. Delayed diagnosis treatment, due to a paucity of literature on optimal treatment strategies, can increase morbidity. This case report describes 19-year-old male patient with aggressive hemangioma who presented upper back pain progressive weakness lower extremities. The underwent preoperative embolization sclerotherapy, followed by decompression, posterior...

Key Clinical Message Tuberous sclerosis (TSC) is an autosomal dominant neurocutaneous disorder. This case highlights rare isolated neurologic finding in a TSC patient emphasizing the need for heightened suspicion even absence of any cutaneous findings and family history.

Ileal perforation is a rare but serious condition that can arise from accidental ingestion of foreign objects. This report discusses an unusual case ileal peritonitis caused by chicken bone.

Familial adenomatous polyposis (FAP) is an inherited colorectal cancer syndrome characterized by several polyps of the gastrointestinal mucosa with a universal risk in lifetime. FAP usually asymptomatic first decade life. We report case 13-year-old girl diagnosed who presented our center symptoms hematochezia along positive history untimely demise her father and elder sister similar symptoms. autosomal dominant disease affecting both male female equally variable penetrance. Diagnosis made...