Journal of Medical Sciences最新文献

{"title":"MANAGEMENT OF DISC HERNIATION AT THE LUMBAR REGION THAT IS COMPLICATED WITH SPINAL STENOSIS USING SMALL INCISION FENESTRATION","authors":"A. A. Kadhim","doi":"10.52764/jms.24.32.1.14","DOIUrl":"https://doi.org/10.52764/jms.24.32.1.14","url":null,"abstract":"Objectives: The objective of the current study was to compare the alternative approach of smaller incision fenestration in managing lumbar disc herniation with spinal stenosis to previous conventional laminectomy procedures.\u0000Patients and methods: The current case-control study included a total of 290 patients who were represented by two groups. Those patients were complaining of herniation of the lumbar disc with a complication of stenosis of the lumbar segments. Patients in the study group were treated by a small incision fenestration approach, whereas patients in the control group were treated by posterior laminectomy and decompression. Those patients were selected retrospectively from the pool of patients visiting the orthopedic units of Adiwaniyah Teaching Hospital, Adiwaniyah province, Iraq.\u0000Results: Mean hospital stay of patients in the study group was lower in a significant way in comparison with that of patients in the control group, 6.03 ±2.08 days versus 8.07 ±3.13 days, separately (p< 0.001). Added to that, mean operative loss was significantly lower in a group of intervention in comparison with the control group, 52.12 ±5.17 ml versus 65.48 ±5.08 ml, respectively (p< 0.001). Added to that, mean operative time was lower in a significant way in the group of intervention in comparison with patients in the group of control, 62.62 ±3.09 minutes versus 87.09 ±3.47 minutes, respectively (p< 0.001). The mean“visual analogue score (VAS)” was significantly lower in the study group in comparison with the control group, 3.09 ±1.15 versus 6.08 ±2.17, respectively (p<0.001). A comparison of the mean “Japanese orthopedic association (JOA) score” for nerve function between the study group and the control group is shown in Figure 2. The mean “Japanese orthopedic association (JOA) score” was higher in a significant manner in the group of an intervention study in comparison with the control group, 27.15 ±3.07 versus 20.18 ±4.81, respectively (p< 0.001).\u0000Conclusion: Small incision fenestration techniques are associated with significantly less hospital stay, less duration of operation, less blood loss, less visual pain score and better nerve function in comparison with conventional laminectomy procedure.\u0000Keywords: smaller incision fenestration, lumbar disc herniation, spinal stenosis","PeriodicalId":16486,"journal":{"name":"Journal of Medical Sciences","volume":"38 14","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140260694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"EFFECT OF ORAL VITAMIN D3 ON THYMIC INDEX IN MALNOURISHED CHILDREN","authors":"Hafsa Bashir, Muhammad Omar Malik, Sabahat Amir, Habiba Ahmad, Syed Kaleem Ur Rehman","doi":"10.52764/jms.24.32.1.11","DOIUrl":"https://doi.org/10.52764/jms.24.32.1.11","url":null,"abstract":"Objectives: To compare the thymic Index, vitamin D3 level, and T cell receptor excision circle (TREC) of healthy and malnourished infants. To evaluate the effect of oral vitamin D3 supplementation on the Thymic Index and TREC in malnourished children.\u0000Material and Methods: This quasi-experimental study (non-equivalent control group design) included 44 infants within the age range of 2 to 6 months. The cases were 22 malnourished infants, and 22 were healthy infants (controls) based on WHO Z scores classification (weight for length). Weight, age, thymic Index (TI), Vitamin D levels, and TRECs were recorded for cases and controls(pre-test). The cases were given Vitamin D supplementation for 8 weeks. The weight for length (z-score), thymic Index (TI), vitamin D levels, and TRECs were checked in these malnourished children on follow-up (post-test). Thymic Index (TI) was checked by ultrasonography (length multiplied by breadth). ELISA was performed to check Vitamin D levels and RT-PCR was done to compare TRECs.\u0000Results: The malnourished infants had a mean thymic index of 8.015 ±3.2192 as compared to controls of 11.667 ±3.2730. Post Vit D supplementation TI increased (8.459 ±3.2191) in cases. Weight, length, and Z scores were found to be directly related to TI values. Pre and Post supplementation TI were strongly correlated to each other (r= 0.985, p= <0.001). The thymic index increased significantly (p= 0.001) after intervention. There was a statistically non-significant rise in TRECS (809 vs 4242) (p= 0.075) after vitamin D supplementation. The Pearson Correlation showed no significant correlation of TRECS to any of the variables including the Thymic index.\u0000Conclusion: TI (thymic size) and vitamin D levels increase with vitamin D supplementation in malnourished children. However, Vitamin D supplementation has no significant effect on TRECS.\u0000Keywords: Malnourished, Vitamin D3, T cell receptor excision circles, Thymic Index, TRECs.\u0000 ","PeriodicalId":16486,"journal":{"name":"Journal of Medical Sciences","volume":"39 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140258431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"OUTCOME OF EARLY TRANSABDOMINAL SUPRAPUBIC REPAIR OF VESICOVAGINAL FISTULA SECONDARY TO BENIGN GYNECOLOGICAL AND OBSTETRIC SURGERIES","authors":"Hazrat ullah, Nasir Khan, Mahjabina S. Ghayur, Ahsan Rafi, Ishtia ur Rehman, Yasir Hakim","doi":"10.52764/jms.24.32.1.5","DOIUrl":"https://doi.org/10.52764/jms.24.32.1.5","url":null,"abstract":"Objectives: To determine the effectiveness of early operative management of patients with Vesicovaginal fistula (VVF) secondary to benign gynecological surgeries.\u0000Material and methods: It is a descriptive case series of 70 patients selected from August 2018 to Oct 2022. All patients meeting inclusion criteria had routine lab investigations, imaging, cystoscopy, and vaginoscopy. The suprapubic approach described by O’Conor et al; was used. All surgeries were performed between the 4th and 6th weeks after the onset of the fistula to allow some time for tissue healing. All patients were followed after 2 weeks; a cystogram was performed to document fistula closure followed by removal of Foleys catheter. A second follow-up was at 3 months, patients were assessed with patient global impression of improvement score (PGI-I) for improvement in symptoms.\u0000Results: The mean age of the patients was 40.6 ± 10.2 years. 14(19.7%) patients were primipara while 56 (78.9%) patients were multipara. The mean fistula size was 11.5 ± 4.5mm. Supra-trigonal fistulas were more common than trigonal fistulas 43(60.6%) vs 27(38%). Hysterectomy (including cesarean hysterectomy and simple hysterectomy) was the commonest cause of VVF followed by cesarean section and difficult labor 33(46.5% vs 21(29.6) vs 12(16.9%). The overall mean operative time was 125.3 ± 10.7 minutes. The mean hospital stay was 3.8 ± 0.8 days. The fistula was successfully closed in 64 (90.1%) patients while 6 (9.9%) patients had failed surgery. The small-size fistulas (5-10mm) had a higher success rate of closure than larger fistulas (11-20mm) with statistical significance (p=0.02). Over 63 (90 %) patients responded PGI score below 3 with much improvement in symptoms.\u0000Conclusion: Our results show that early operative management of VVF secondary to benign gynecological and obstetric surgeries is feasible and effective. It also improves the symptoms of patients with PGI-I score.\u0000KEYWORDS: Vesicovaginal fistula (VVF), early repair, hysterectomy.","PeriodicalId":16486,"journal":{"name":"Journal of Medical Sciences","volume":"34 14","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140259815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"THE EFFECTIVENESS OF JIGSAW COOPERATIVE LEARNING STRATEGY AMONG BACHELOR NURSING STUDENTS AT ZIAUDDIN UNIVERSITY, KARACHI","authors":"Abdul Rehman, Raja Raja, Abbas Husain, A. Ghouri","doi":"10.52764/jms.24.32.1.9","DOIUrl":"https://doi.org/10.52764/jms.24.32.1.9","url":null,"abstract":"Objective: This study aimed to determine the effectiveness of the jigsaw cooperative learning strategy among Bachelor nursing students.\u0000Material and Methods: The quasi-experimental study was conducted from July to December 2021 at Ziauddin University Faculty of Nursing and Midwifery, Karachi, among 60 students of 4th year BSN, approached by non-probability consecutive sampling method.  The willing students of BSN year VI were included. The participants were divided into A and B groups. Group A was interventional, and group B was non-interventional. Independent t-test, Mann-Whitney U test, and Fisher exact test were applied for inferential statistics.\u0000Results: The majority, 80% of the participants, were female, and almost half, 31 (51.67%) study participants were between 23-26 years. The average score of the participants through jigsaw cooperative learning and lecture method was18.73±3.5 and 14.13±2.42, respectively. Moreover, it was also found to be statistically significant (p-value<0.001).\u0000Conclusion: It is concluded that the jigsaw cooperative learning strategy was found effective as compared to the traditional teaching style. To increase the quality of education in the health sectors, the educational system must accept and apply modern interactive technologies.\u0000Keywords: Jigsaw method, lecture method, nursing students","PeriodicalId":16486,"journal":{"name":"Journal of Medical Sciences","volume":"2 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140258364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"THE CORRELATION BETWEEN BETHESDA SYSTEM AND ULTRASOUND-BASED TIRADS FOR REPORTING THYROID CYTOPATHOLOGY","authors":"Ayesha Safdar, Raazia Mehmood, Maria Khan, Faryal Javaid, Ayesha Sajjad, Maria Tasneem Khattak, Iqbal Muhammad Khan","doi":"10.52764/jms.24.32.1.17","DOIUrl":"https://doi.org/10.52764/jms.24.32.1.17","url":null,"abstract":"Objectives: To correlate the screening ability of ultrasound-based TIRADS with the FNAC-based Bethesda system when the latter is kept as a gold standard.\u0000Material and Methods: A cross-sectional study was conducted in the Histopathology department, Rehman Medical Institute, Peshawar 15th June 2022- 14th June 2023. A total of 363 patients from any age group of either gender diagnosed with thyroid nodules were included in the trial. All the participants underwent ultrasound followed by ultrasound-guided fine needle aspiration of thyroid nodules. TIRADS and Bethesda grading was done for each participant. Demographics and grading scores were recorded. Keeping Bethesda scoring as gold standard diagnostic performance of TIRADS grading was calculated.\u0000Results: Mean age of the patients was 46.68 ± 12.28 years with a female-to-male ratio of 2.3:1.  TIRADS grading revealed 210 (69.8%) from TIRADS 2 while 70(82.4%), 12(50%), and 09(23.7%) patients were from TIRADS 3, 4 and 5 categories respectively. Bethesda grades were 301(82.9%), 21(5.8%), 09(2.5%), 28(7.7%), and 04(1.1%) from Bethesda 2, 3, 4, 5, and 6 categories respectively. The sensitivity of the TIRADS was 93.8%, specificity 89.1%, positive predictive value 45%, negative predictive value 99.3%, and a diagnostic accuracy of 89.5%.\u0000Conclusion: TIRADS grading has a high diagnostic ability when Bethesda scoring is kept as the gold standard. It can be used effectively in segregating benign from malignant nodules and is recommended for screening patients presenting with thyroid nodules.\u0000Keywords: Biopsy, Fine-Needle, Sensitivity and Specificity, Thyroid Nodule","PeriodicalId":16486,"journal":{"name":"Journal of Medical Sciences","volume":"30 14","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140260405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ERGONOMICS ASSESSMENT OF EXPOSURE TO RISK OF MUSCULOSKELETAL SYMPTOMS IN BANK EMPLOYEES","authors":"Anila Kausar, Anum Rafique, Nazish Rafique, Kiran Afzal, Mohabbat Ali","doi":"10.52764/jms.24.32.1.6","DOIUrl":"https://doi.org/10.52764/jms.24.32.1.6","url":null,"abstract":"Objective: Work-related musculoskeletal problems are common in many occupations and these musculoskeletal problems can decrease an individual’s quality of life by affecting their daily living activities. The objective of this research was to evaluate the level of exposure to musculoskeletal symptoms risk among employees working in banks.\u0000Materials and Methods: This cross-sectional study was conducted in Rawalpindi and Islamabad, Pakistan from January 2018 to June 2018. 620 bank employees of both genders, with the age of 25-45 years were included in this study, and employees with musculoskeletal and neurological disorders, amputee or prosthetic limb, and any trauma were excluded from this study. Rapid office strain assessment (ROSA) and quick exposure check (QEC) scales were used to assess the risk and prevalence of musculoskeletal symptoms. Data were analyzed by using SPSS 21.\u0000Results: According to the scoring of QEC scales 92.2% of participants fall in the acceptable ergonomics category, 6% fall into investigate further and 1.1% fall into investigate and change soon, with the highest symptoms among low back (17.7%). And the mean ROSA final score (5.51) indicates that most of the participants have a high risk of musculoskeletal symptoms.\u0000Conclusion: Regarding the scoring of ROSA and QEC scale musculoskeletal symptoms has a high prevalence among bank employees.\u0000Keywords: Ergonomics, Employee, Environment, Pain, Risk.","PeriodicalId":16486,"journal":{"name":"Journal of Medical Sciences","volume":"42 24","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140260470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"LAPAROSCOPIC EXPLORATION FOR INFANTILE HYPERTROPHIC PYLORIC STENOSIS: AN EXPERIENCE AT TERTIARY CARE HOSPITAL","authors":"Dr. Sajjad Ali Senior Registrar, Muhammad Imran, Sajad Ali, Fayaz Rahman, Khawar Saeed, Mahjabina S. Ghayur","doi":"10.52764/jms.24.32.1.3","DOIUrl":"https://doi.org/10.52764/jms.24.32.1.3","url":null,"abstract":"Objectives: This study aims to share our experience of laparoscopic exploration for infantile hypertrophic pyloric stenosis.\u0000Material and methods: This retrospective study was conducted in the Department of Pediatric Surgery, Khyber Teaching Hospital, Peshawar from June 2017 to July 2020. This study includes all patients whose diagnosis of infantile hypertrophic pyloric stenosis (IHPS) was confirmed through ultrasound parameters and laparoscopic pyloromyotomy was performed. Data was retrieved from the laparoscopic surgery record. Retrieved data was tabulated and fed in SPSS 25 for analysis.\u0000Results: This study included 42 patients with a mean age of 50.28 ±18.5days and a mean weight of 3.35±0.76 kg. Male patients were 57 % while females were 43 %. The mean time to resuscitate the patient pre-operatively was 34.6±15.4 hours while the mean postoperative hospital stay was 45±12.47 hours. The mean operative time was 31.6±10.4 min. Operative time decreased with time depicting improvement in our learning curve (p=0.004). The method of working instrument placement had no impact on operative time (p=0.337). Meantime to full oral feed was 9.7±5.1 hours. We did not encounter mucosal perforation or incomplete myotomy. No surgery was converted to open.\u0000Conclusion: Laparoscopic pyloromyotomy is a safe and effective method of treatment for infantile hypertrophic pyloric stenosis.\u0000Keywords:  laparoscopic pyloromyotomy, pyloric stenosis, IHPS","PeriodicalId":16486,"journal":{"name":"Journal of Medical Sciences","volume":"46 14","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140259098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A STUDY OF SELF-ESTEEM, ACADEMIC SELF-CONCEPT, AND LOCUS OF CONTROL AMONG BEHAVIORAL PROBLEM AND NON-BEHAVIORAL PROBLEM CHILDREN","authors":"Saima Arzeen, Naeema Arzeen, Syed mubashar Shah","doi":"10.52764/jms.24.32.1.8","DOIUrl":"https://doi.org/10.52764/jms.24.32.1.8","url":null,"abstract":"OBJECTIVE: The aim of current study was to identify and compare the children with behavioral problems and without behavioral problems on self-esteem, academic self-concept, and locus of control.\u0000METHOD: For this study, a cross sectional research design was used, for data collection purposive sampling technique was applied. Out of 300 children a sample of 34 children with behavioral problems (that lies above 67th percentile) and a matched comparative group of 34 children (fall below 33 percentile children) were selected. The age range of sample was 11-13 years and from Wah Cantt data was collected. A booklet consisted of consent form, demographic sheet, children behavioral problem checklist; self-esteem scale, academic self-concept, and locus of control scales were administered. \u0000RESULTS: Correlational analysis indicated that there was significant relationship between all the study variables. Children with behavioral problems exhibited lower level of self-esteem (M=39.92; SD=16.4) than non-behavioral problem children (M=47.57; SD=9.52). On academic self-concept, children with behavioral problems exhibited lower mean scores (M=32.9; SD=26.3) as compared to children having non-behavioral problems (M=44.6; SD=15.8). Furthermore, results also highlighted that non-problematic children exhibit less external locus of control (M=8.35; SD=2.51) as compared to problematic children (M=10.70; SD=3.36).\u0000CONCLUSION: This study highlighted that SE, ASC and LOC are related process children behavioral problems. Therefore, in order to handle such children, teachers and school counselor should develop such intervention strategies that promote their self-esteem, academic self-concept and internal locus of control.\u0000Keywords: self-esteem, Locus of control, Behavioral problems, academic self-esteem.","PeriodicalId":16486,"journal":{"name":"Journal of Medical Sciences","volume":"38 24","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140260684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Modified Four-point Scleral Fixation of Intraocular Lens in Aphakic Eyes without Adequate Capsular Support","authors":"Shu-I Pao, Jiann-Torng Chen, Yun-Hsiang Chang","doi":"10.4103/jmedsci.jmedsci_245_23","DOIUrl":"https://doi.org/10.4103/jmedsci.jmedsci_245_23","url":null,"abstract":"\u0000 \u0000 \u0000 Polypropylene is a commonly used suturing material for intraocular lens (IOL) scleral fixation, but a high breakage rate after several years of follow-up is reported. Meanwhile, Gore-Tex has been a popular artificial material in ophthalmic surgery.\u0000 \u0000 \u0000 \u0000 This pilot study investigated the safety and efficacy of a modified surgical technique for scleral fixation of a four-point, close-loop haptic IOL using Gore-Tex as the suture material for aphakic patients without adequate capsular support.\u0000 \u0000 \u0000 \u0000 A modified IOL scleral fixation technique was developed using a four-point, close-loop haptic IOL and Gore-Tex as the suture material. Patients undergoing the operation between March 2018 and May 2019 at one center were included in the study. The preoperative uncorrected distance visual acuity (UDVA) with spectacles and postoperative UDVA with an IOL were compared as the main outcome. Follow-up time was 17–43 months.\u0000 \u0000 \u0000 \u0000 A total of 10 eyes of 10 patients were enrolled, including 3 with iatrogenic IOL dislocation, 3 with iatrogenic lens drop, 2 with traumatic lens dislocation, and 2 with late in-the-bag IOL dislocation. The mean age was 70.8 ± 12.11 years. The mean UDVA, evaluated by the logarithm of the minimum angle of resolution, was decreased from preoperative 1.89 ± 0.28 to postoperative 0.58 ± 0.70 (P < 0.001). No complications were reported except in one case with a postoperative corneal ulcer which healed after antibiotic treatment.\u0000 \u0000 \u0000 \u0000 The favorable outcome suggests Gore-Tex sutures as a safe and stable material for IOL scleral fixation. Prospective studies with a larger sample size would be necessary for more details on the safety and efficacy of the Gore-Tex suture in IOL scleral fixation.\u0000","PeriodicalId":16486,"journal":{"name":"Journal of Medical Sciences","volume":"8 14","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140409694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tailgut Duplication Cyst: A Rare Cause of Refractory Low Back Pain in a Teenage Girl","authors":"Tushar Kambale, B. Iqbal, Nilanjan D. Choudhury, Komal D Sawaimul","doi":"10.4103/jmedsci.jmedsci_226_23","DOIUrl":"https://doi.org/10.4103/jmedsci.jmedsci_226_23","url":null,"abstract":"\u0000 Tailgut cyst, or retrorectal cystic hamartoma, is a rare congenital malformation originating from retrorectal or presacral space. It stands as an embryonic vestige of the hindgut’s postnatal component. Owing to its rarity, undiagnosed asymptomatic cases and diverse array of clinical presentations that potentially mimic other diseases, correct diagnosis is often delayed. It can present at any age but is most prevalent in middle-aged females, often remaining asymptomatic and eluding detection during digital rectal examinations. Postoperative histopathological examination is the definitive diagnostic method. This case report highlights an unusual presentation of a tailgut cyst as an underlying etiology for lower back pain in a 17-year-old female patient, emphasizing the importance of considering it as a potential differential diagnosis for intractable lower back pain, especially in young females. Timely recognition of this condition is pivotal for precise management and better patient outcomes.","PeriodicalId":16486,"journal":{"name":"Journal of Medical Sciences","volume":"5 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139957901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}