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  1. Article: A rare discovery of Spigelian-cryptorchidism syndrome in adult.

    Gurung, Rajan / Ali, Aishath Azna / Lee, Fei Yee / Mra, Aung / Hayati, Firdaus

    Urology case reports

    2021  Volume 38, Page(s) 101687

    Abstract: Spigelian hernia (SH) occurs due to the protrusion through a congenital or acquired defect or weakness in the Spigelian aponeurosis. SH accounts for only 0.1-0.4% of occurrence and a 17-24% risk of strangulation. We hereby report a case of a 34-year-old ... ...

    Abstract Spigelian hernia (SH) occurs due to the protrusion through a congenital or acquired defect or weakness in the Spigelian aponeurosis. SH accounts for only 0.1-0.4% of occurrence and a 17-24% risk of strangulation. We hereby report a case of a 34-year-old gentleman presented with concomitant incarceration of the omentum with small intestine and testis in Spigelian hernia sac. We have successfully operated on this patient via a transperitoneal approach with a small incision over the hernia site. This incision could be an alternative to midline laparotomy as a safe and effective method in managing incarcerated SH in an emergency setting.
    Language English
    Publishing date 2021-04-20
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2745459-9
    ISSN 2214-4420
    ISSN 2214-4420
    DOI 10.1016/j.eucr.2021.101687
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Traumatic Neck Injury: An Accidental Impalement by a Needlefish.

    Ali, Aishath Azna / Gurung, Rajan / Hayati, Firdaus / Zakaria, Andee Dzulkarnaen / Mohamad, Irfan / Ching, Fui Fui

    Wilderness & environmental medicine

    2021  Volume 32, Issue 4, Page(s) 517–521

    Abstract: Encounters between marine animals and humans can result in critical injury and fatal complications. We highlight a 20-y-old male who sustained a penetrating injury to the neck as a result of impalement by needlefish (Tylosurus sp) while snorkeling. He ... ...

    Abstract Encounters between marine animals and humans can result in critical injury and fatal complications. We highlight a 20-y-old male who sustained a penetrating injury to the neck as a result of impalement by needlefish (Tylosurus sp) while snorkeling. He sustained a penetrating injury in the posterior triangle of the neck. On presentation, he was stabilized and received empirical antibiotics, analgesia, and antitetanus toxoid injection before being transferred to a tertiary center. On presentation to the tertiary hospital, the patient was hemodynamically stable with no clinical evidence of injury to surrounding neck structures, and this was confirmed using computed tomography. The patient underwent local wound exploration and retrieval of the needlefish beak under general anesthesia. The wound was left open to heal by secondary intention. The patient was discharged with oral antibiotics and went on to make a complete recovery.
    MeSH term(s) Animals ; Beloniformes ; Humans ; Male ; Neck Injuries/etiology ; Tomography, X-Ray Computed ; Wounds, Penetrating/etiology ; Wounds, Penetrating/surgery
    Language English
    Publishing date 2021-09-01
    Publishing country United States
    Document type Case Reports
    ZDB-ID 1238909-2
    ISSN 1545-1534 ; 1080-6032
    ISSN (online) 1545-1534
    ISSN 1080-6032
    DOI 10.1016/j.wem.2021.07.006
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Delayed presentation of a huge abdominopelvic mass during the COVID-19 pandemic.

    Gurung, Rajan / Ali, Aishath Azna / Hayati, Firdaus / Rajakumar, Vishnu Vinodhan / Payus, Alvin Oliver / Wynn, Aye Aye / Azizan, Nornazirah / Ahmed Abdelhafez, Mohsen Mohamed / Abdullah, Bahiyah

    Annals of medicine and surgery (2012)

    2022  Volume 82, Page(s) 104576

    Abstract: Background: Giant ovarian cysts are rare in developed countries due to advanced achievements in medical diagnostics. However, in the midst of the coronavirus disease 2019 (COVID-19) pandemic, patients with non-COVID-19-related illnesses tend to delay ... ...

    Abstract Background: Giant ovarian cysts are rare in developed countries due to advanced achievements in medical diagnostics. However, in the midst of the coronavirus disease 2019 (COVID-19) pandemic, patients with non-COVID-19-related illnesses tend to delay their health-seeking attention; thus, they had presented late.
    Case presentation: A 25-year-old single lady complained of a 3-month worsening abdominal pain and distention. She was initially well but neglected the symptoms due to the COVID-19 situation, yet came to our attention after she developed obstructive symptoms. A computed tomography (CT) scan of the abdomen revealed a huge cystic lesion from the pelvic area, which later was found to be from the right ovary upon urgent laparotomy exploration. The histopathological examination was consistent with mucinous cystadenoma of the ovary.
    Discussion: Acute non-COVID-19-related emergencies have decreased, as evidenced by reduced visits to the Emergency Department, and the number of abdominal CT scans. An emergency case like a huge abdominopelvic mass deserves an extensive radiologic examination as clinical assessment alone may not be adequate. Preoperative CT is superior to ultrasonography in getting the extent of the lesion, local infiltration, staging purpose, and surgical intervention. Pathology with a variety of spectrums such as mucinous neoplasm deserves to be investigated, evaluated, and resected even during the COVID-19 pandemic.
    Conclusion: A giant abdominopelvic cystic mass can present emergency havoc during the COVID-19 pandemic. Urgent surgical intervention is mandatory by using full protection and exercising extreme precaution, regardless of the preoperative screening to avoid unnecessary viral transmissions.
    Language English
    Publishing date 2022-09-12
    Publishing country England
    Document type Case Reports
    ZDB-ID 2745440-X
    ISSN 2049-0801
    ISSN 2049-0801
    DOI 10.1016/j.amsu.2022.104576
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Gastric trichobezoar in an end-stage renal failure and mental health disorder presented with chronic epigastric pain: A case report.

    Ali, Aishath Azna / Gurung, Rajan / Fuad, Zeena Mohamed / Moosa, Muaz / Ali, Isha / Abdulla, Ahmad / Muhamad, Assikin / Hayati, Firdaus / Pang, Nicholas Tze Ping

    Annals of medicine and surgery (2012)

    2020  Volume 58, Page(s) 76–79

    Abstract: Background: Gastric trichobezoar happens when there is an indigestible substance or food found in the gastrointestinal tract. It is a rare presentation which is usually associated with trichotillomania and trichopagia. The presentation may not be ... ...

    Abstract Background: Gastric trichobezoar happens when there is an indigestible substance or food found in the gastrointestinal tract. It is a rare presentation which is usually associated with trichotillomania and trichopagia. The presentation may not be specific and is usually related to dyspepsia-like symptoms. In the worst-case scenario, this may cause gastric outlet or intestinal obstruction which eventually requires surgery.
    Case presentation: We present a 36-year-old lady with underlying end-stage renal failure (ESRF) and undiagnosed mental health issues who was treated for recurrent episodes of gastritis. Imaging modalities revealed intragastric foreign body ingestion which is consistent with gastric trichobezoar. She eventually underwent laparotomy and gastrotomy to remove the foreign body. Postoperatively, she was referred and followed-up by the psychiatric team.
    Conclusion: Gastric trichobezoar has strong associations with psychiatric disorders. With the co-existence of an ESRF, uraemia might contribute to the aetiology of the trichotillomania and trichophagia. Open surgery is the choice of definitive management especially if bezoars are larger. Should the recurrence be remitted, a biopsychosocial modality and regular haemodialysis is the most sustainable approach to ensure the behaviour does not persist.
    Language English
    Publishing date 2020-09-01
    Publishing country England
    Document type Case Reports
    ZDB-ID 2745440-X
    ISSN 2049-0801
    ISSN 2049-0801
    DOI 10.1016/j.amsu.2020.08.021
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Acalculous Cholecystitis in a Young Adult with Scrub Typhus: A Case Report and Epidemiology of Scrub Typhus in the Maldives.

    Imad, Hisham Ahmed / Ali, Aishath Azna / Nahuza, Mariyam / Gurung, Rajan / Ubaid, Abdulla / Maeesha, Aishath / Didi, Sariu Ali / Dey, Rajib Kumar / Hilmy, Abdullah Isneen / Hareera, Aishath / Afzal, Ibrahim / Matsee, Wasin / Nguitragool, Wang / Nakayama, Emi E / Shioda, Tatsuo

    Tropical medicine and infectious disease

    2021  Volume 6, Issue 4

    Abstract: Scrub typhus is a neglected tropical disease predominantly occurring in Asia. The causative agent is a bacterium transmitted by the larval stage of mites found in rural vegetation in endemic regions. Cases of scrub typhus frequently present as acute ... ...

    Abstract Scrub typhus is a neglected tropical disease predominantly occurring in Asia. The causative agent is a bacterium transmitted by the larval stage of mites found in rural vegetation in endemic regions. Cases of scrub typhus frequently present as acute undifferentiated febrile illness, and without early diagnosis and treatment, the disease can develop fatal complications. We retrospectively reviewed de-identified data from a 23-year-old woman who presented to an emergency department with complaints of worsening abdominal pain. On presentation, she appeared jaundiced and toxic-looking. Other positive findings on abdominal examination were a positive Murphey's sign, abdominal guarding and hepatosplenomegaly. Magnetic resonance cholangiopancreatography demonstrated acalculous cholecystitis. Additional findings included eschar on the medial aspect of the left thigh with inguinal regional lymphadenopathy. Further, positive results were obtained for immunoglobulins M and G, confirming scrub typhus. The workup for other infectious causes of acute acalculous cholecystitis (AAC) detected antibodies against human herpesvirus 4 (Epstein-Barr virus), suggesting an alternative cause of AAC. Whether that represented re-activation of the Epstein-Barr virus could not be determined. As other reports have described acute acalculous cholecystitis in adult scrub typhus patients, we recommend doxycycline to treat acute acalculous cholecystitis in endemic regions while awaiting serological confirmation.
    Language English
    Publishing date 2021-12-08
    Publishing country Switzerland
    Document type Case Reports
    ISSN 2414-6366
    ISSN (online) 2414-6366
    DOI 10.3390/tropicalmed6040208
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Snakehead Consumption Enhances Wound Healing? From Tradition to Modern Clinical Practice: A Prospective Randomized Controlled Trial.

    Sahid, Nik Amin / Hayati, Firdaus / Rao, Challa Venkata / Ramely, Rosnelifaizur / Sani, Ikhwan / Dzulkarnaen, Andee / Zakaria, Zaidi / Hassan, Syed / Zahari, Arman / Ali, Aishath Azna

    Evidence-based complementary and alternative medicine : eCAM

    2018  Volume 2018, Page(s) 3032790

    Abstract: Background: Snakehead fish (: Methodology: One hundred and two patients (102) underwent clean elective surgery; postoperatively they were randomized into two group. One group received : Result: The patient treated with : Conclusion: Our study ... ...

    Abstract Background: Snakehead fish (
    Methodology: One hundred and two patients (102) underwent clean elective surgery; postoperatively they were randomized into two group. One group received
    Result: The patient treated with
    Conclusion: Our study suggest that application of
    Language English
    Publishing date 2018-11-14
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2171158-6
    ISSN 1741-4288 ; 1741-427X
    ISSN (online) 1741-4288
    ISSN 1741-427X
    DOI 10.1155/2018/3032790
    Database MEDical Literature Analysis and Retrieval System OnLINE

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