Global Academic Journal of Medical Sciences最新文献

{"title":"A Rare Case of Fibroadenoma in an Accessory Breast over Anterior Chest Wall","authors":"Dr. Parthasarathi Hota, Dr. Kanhaiya N Baghel, Dr. Vishal Shammi","doi":"10.36348/gajms.2022.v04i03.001","DOIUrl":"https://doi.org/10.36348/gajms.2022.v04i03.001","url":null,"abstract":"Accessory breast tissue is an uncommon condition which occurs in 0.4–6% of women. It is mostly located in the axilla where it can cause diagnostic difficulty, especially if it is unilateral and large. Usually it is bilateral and presents as an asymptomatic mass during pregnancy or lactation. The diagnosis of ectopic breast tissue is important as it can undergo the same pathological changes that occur in a normal breast, such as mastitis, fibrocystic disease and carcinoma. We present a case of unilateral accessory breast without nipple and areola over anterior chest wall with a fibroadenoma inside it in a 20 year old lady.","PeriodicalId":397187,"journal":{"name":"Global Academic Journal of Medical Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121439832","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":"Comparison the Efficacy of Ketamine on the Patients Undergoing Elective Surgery for Prevention of Postoperative Shivering","authors":"Md. Rasheduz zaman, Md. Moshfiqur Rahman, Kibria Kabir, Wazed Amin, P. Debnath, M. Kabir, Qazi Md. Salahuddin (Rijon), T. Saha","doi":"10.36348/gajms.2022.v04i02.013","DOIUrl":"https://doi.org/10.36348/gajms.2022.v04i02.013","url":null,"abstract":"Introduction: Patients frequently suffer from shivering following surgery. The shivering experienced by the patients may be a natural, thermal regulatory response to central hypothermia or as a result of the release of cytokines during the surgical process. This is unpleasant and occurs following surgery in 30-65% of patients who have received general anesthetics. Shivering increases the muscular activity, O2 consumption, CO2 production and may result in hypoxaemia, hypercarbia and lactic acidosis. It is not only uncomfortable but also cold sensation which is even worse feeling than pain sensation. Objective: To assess the Comparison the efficacy of ketamine on the patients undergoing elective surgery for prevention of postoperative shivering. Material & Methods: In this prospective study was conduct at the dept. of Anaesthesia, Shaheed Tajuddin Ahmad Medical College Hospital, Gazipur, Bangladesh from January to June-2021. Fifty (50) patients included in our study. The inclusion criteria were women aged between 30-65 years and ASA-PS classes I and II. Patients preoperative period were fasted at least 6 hrs and on arrival at OT I/V line was inserted; pulse, BP respiratory rate and SpO2 were recorded. Results: In our study fifty two (52) patients demographic data concerning the patient age, weight as well as duration of anaesthesia and type of surgery were comparable in two groups which are fairly matched. In preoperative situation in Group A mean pulse rate was 79 ±2.4, in Group B 82 ±1.5, mean anterial pressure 92.71±1.05 (Group A), 94.01±1.14 (Group B), SpO2 99±0.56 Group A, 98 ±0.26 (Group B) which showed no significant difference between the groups. In the postoperative period, incidences of shivering were 80.07% & 50% in Group-A and Group-B which are highly significant between the groups P<.001 Cardiovascular parameters SAP, DAP, MAP and SpO2 between the groups were not significant P>.05. The study showed that patients of Group-B were less shivering with good recovery. Conclusion: In concluded that the post-operative shivering are the most common complaints. The aetiology of postoperative shivering is multifactorial including anesthetic, patients and surgical factors. Antishivering prophylaxis may be justified in patients who are at great risk of developing post-operative shivering after general anaesthesia. The incidence of major side effects is not significant in ketamine group and contributes to some extent to post-operative analgesia.","PeriodicalId":397187,"journal":{"name":"Global Academic Journal of Medical Sciences","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134060709","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":"Comparative Effectiveness of Drugs in the Treatment of Primary Headache","authors":"M. Khan, Farhana Younus, M. Hossain, A. Swarna, Nelson Taposh Mondal, Sajal Kumar Shil","doi":"10.36348/gajms.2022.v04i02.006","DOIUrl":"https://doi.org/10.36348/gajms.2022.v04i02.006","url":null,"abstract":"Introduction: Primary headache disorder, characterized by recurrent headache is the most prevalent disease leading to widespread ill health and impaired quality of life. Headache is one of the most common cause of patient attending neurology clinic. Amitriptyline, flunarizine and topiramate are common drugs in the treatment of primary headache. Objective: To compare the efficacy of drugs namely Amitriptyline, flunarizine and topiramate in the treatment of primary headache. Methods and Materials: This is the retrospective data analysis study was contacted at Dept. Of Neurology, Enam Medical College Hospital, Savar, Dhaka, Bangladesh from March to June 2022. Data analysis of primary headache patients treated with amitriptyline, flunarizine and topiramate. On their first, second and third subsequent visits, Headache Impact Test 6 Scoring was done by a medical person. Patients were treated clinically. After the third follow up data were analyzed using SPSS version 20.0. Categorical variables were compared by chi-square test, paired sample t-test, ANOVA test and Welch test. Results: A total of 121 patient data was analyzed. Most patients were between 16 to 40 years of age (54.34%) followed by 41-60 years of age (33.80%) with minimum age of 16 years and maximum age of 60 years respectively. Among the patients in the study group, the majority were female (85%). All three medications: amitriptyline, flunarizine and topiramate were able to significantly lower Headache impact test -17.23 ± 6.643, -14.06 ± 7.155, -15.82 ± 5.907 respectively (P-<0.001). Amitriptyline was found to be better than other two drugs in reducing Headache Impact Test. Conclusion: Primary headache is a common presentation in neurological OPD. Female between ages 16-60 years had more primary headache. Amitriptyline, flunarizine and topiramate all are effective in the treatment of primary headache. Though tension type of headache is the most common type of headache, amitriptyline seems to be equally effective in treatment with other primary headaches.","PeriodicalId":397187,"journal":{"name":"Global Academic Journal of Medical Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130815451","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 Systemic Review of an Untold Story: The Financial Abuse","authors":"Shailla Cannie","doi":"10.36348/gajms.2022.v04i02.005","DOIUrl":"https://doi.org/10.36348/gajms.2022.v04i02.005","url":null,"abstract":"Introduction: When most people think of domestic violence, the first thing that comes to mind is most likely verbal abuse as well as physical assault or assaulting a spouse or partner. Nevertheless, according to research, financial abuse occurs just as frequently in toxic relationships as other forms of violence. Unfortunately, the frequency of poverty among women is higher than the general population (United Nations Population Fund [UNFPA], 2005). Women constitute 70% of the world's 1.5 billion impoverished, according to the World Bank (Chen, 2005). As a result, economic violence is a form of prejudice that is particularly harmful to women. Method: A systematic search was conducted with PRISMA guidelines. The search was completed by examining peer reviewed literature databases using PubMed, Research gate, Medline and identified potential studies for inclusion. Results: All participants in the mentioned studies have suffered from varying degrees of financial abuse and even people who have incomes access to their own income at their disposal. The women accounts included four kinds of economic abuse apperceived in current literature: such as Preventing the acquisition of economic resources, Preventing the use of resources, Reluctant to contribute, Exploiting women's resources and/or engendering economic costs; and two unique abuse, Exploiting women’s customary marriage gifts including Jahez/dahej, meher, wari and Jeopardising women's long-term finances, for example, through transnational investment. Conclusion: Comparing financial abuse to other forms of abuse, the researchers found that its size has grown. Aside from that, it has been discovered that the victims' behaviour continues to be affected even after rehabilitation.","PeriodicalId":397187,"journal":{"name":"Global Academic Journal of Medical Sciences","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114669703","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":"“Pattern of Sexually Transmitted Infections: Treated in A Private Clinic at Dhaka, Bangladesh”","authors":"Md. Mahmudur Rahman, Sharmina Haq, S. Rashid, S. Hossain","doi":"10.36348/gajms.2022.v04i02.001","DOIUrl":"https://doi.org/10.36348/gajms.2022.v04i02.001","url":null,"abstract":"Background: Sexually transmitted infections (STIs), including human immunodeficiency virus (HIV), continue to present major health, social, and economic problems in the developing world, leading to considerable morbidity, mortality, stigma and long-term disability, economic loss and death throughout the world. Despite the availability of effective treatment and preventive measures, incidence of STIs is increasing even in developed countries. Objectives: To determine the pattern of sexually transmitted infections in patients presenting with genital symptoms. Material and Methods: A cross sectional, descriptive study was carried in the Dermatology-Venereology Clinic of Holy Lab Diagnostic & Consultation Centre, Uttara, Dhaka, Bangladesh from January to December 2019. During one year period, a total of 140 consecutive cases were enrolled in this study. The diagnosis of infections was made clinically with relevant laboratory investigations and they were interviewed for their sexual behaviour after taking consent and assuring confidentiality. Results: A total of one hundred forty (140) patients who presented with genital symptoms were studied. The average age of this population was 28.84 years (±9.15) and it ranged from 18-58 years. 3.7% belonged to age group 18-27 years, followed by 28-37 years (22.1%); 38-47 yrs (52.8%); 48-57 yrs (18.5%) and > 57 yrs (2.8%). Majority patients of 38-47 yrs 74 cases 52.8%. Males outnumbered females, constituting 76.2% of the total patients, with male to female ratio of 3.37:1. Out of the total 140, some had multiple complaints while others were asymptomatic. Majority cases of burning micturition in both male and female patients 39(24%). Burning micturition and discharge from genitalia was also observed in both sexes. The most frequently encountered infection in both male and female was Gonococcal Urethritis (GU) 42 (30%). The infections were common among both married and unmarried people. Other group of people who had no STI (23.5%) was suffering from venereophobia, pearly penile papules and some form of dermatitis. No case of HIV infection was encountered in this study. Gonococcal Urethritis was common mainly among businessman, transportation worker, security personnel and housewives. Other infections were equally dispersed in all other occupation groups. Conclusions: The prevention and control of STI is based on health education, appropriate diagnosis and treatment. Sexually active people adolescents and young adults should be provided with proper sex education about delaying sex debut and protective measures (correct and consistent use of barrier method during every sexual act) to prevent these infections with especial focus on monogamous relationship.","PeriodicalId":397187,"journal":{"name":"Global Academic Journal of Medical Sciences","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132899514","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":"Myocilin Mutations in a Zambian Population Attending Selected Referral Eye Health Facilities","authors":"Muma I. M. Kangwa, B. Robin, Nyalazi I. M. Jessie, Zulu George, Malisawa-Mumba S. Tyness, Musonda - Chinama M. L. Lillian, Muma-Sibande Kachikonyo, Kaonga Patrick, Simulundu Edgar","doi":"10.36348/gajms.2022.v04i02.003","DOIUrl":"https://doi.org/10.36348/gajms.2022.v04i02.003","url":null,"abstract":"Purpose: Research has shown that primary open-angle glaucoma (POAG) in Zambia has an earlier age of onset and is more clinically severe than in Europe and the United States of America. Mutations of Myocilin have been reported to be associated with POAG in multiple populations. We therefore, investigated the role of myocilin gene mutations in Primary Open Angle Glaucoma in a Zambian population. Methods: The unrelated POAG patients and unaffected controls seen at the University Teaching Hospitals Eye Hospital, Kitwe Teaching Eye Hospital and Lusaka Eye Hospital were recruited for this study. Glaucoma specialists from the participating institutions ascertained all POAG and control patients. Age, sex and ethnicity matched unaffected controls were obtained in patients with an IOP < 22 mm Hg, clear ocular media and normal-appearing optic nerve heads. A complete eye examination, including visual field assessment, was performed in all cases. Genomic DNA was extracted from whole peripheral blood, then subjected to polymerase chain reaction to amplify exons, flanking introns and promoter regions of the myocilin gene. The amplified products were screened for base mutations by autosequence based on the Sanger method. The study used the chi square test and conditional logistic regression to compare the cases and controls. Identified mutations were compared to known myocilin mutations. Results: Unrelated 165 POAG patients and unaffected 173 controls enrolled for the study. The analysis revealed four variants of myocilin mutations in 49 participants which included one synonymous (silent) mutation (Thr474Thr; 45/338) and three missense mutations (Ala446Thr; 16/338), (Leu158Arg; 4/338) and (Arg342Lys; 1/338). The prevalence of myocilin (MYOC) gene mutations in this study was 14.5% (49/338). The study observed two previously reported mutations, Ala446Thr and Arg342Lys, as glaucoma causing mutations. The variant (Lys158Arg) observed in the study was a novel finding. These mutations were detected in age, sex and ethnically matched controls. The missense mutation, Ala446Thr, was found in eight cases and eight controls. Twenty (20) controls and 25 cases had the synonymous or silent (neutral) mutation, (Thr474Thr). Conclusions: The myocilin mutations represent a prevalence of 14.5 in a Zambian population. The Leu158Arg seems to represent novel glaucoma, causing missense mutation. Mutations in myocilin appear to play a big role in the pathogenesis of POAG in a Zambian population.","PeriodicalId":397187,"journal":{"name":"Global Academic Journal of Medical Sciences","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121091283","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 Rare Case of Bilateral Post Intravitreal Avastin Endophthalmitis with Bilateral Good Visual Outcome – A Case Report","authors":"Jessie I. M. Nyalazi, K. I. Muma, D. Kasongole","doi":"10.36348/gajms.2022.v04i02.002","DOIUrl":"https://doi.org/10.36348/gajms.2022.v04i02.002","url":null,"abstract":"This is a case report of post intravitreal injection endophthalmitis encountered at the University Teaching Hospitals–Eye Hospital in Lusaka, Zambia. Endophthalmitis is a clinical diagnosis made when intraocular inflammation involving both the anterior and posterior chambers is attributable to bacterial or fungal infection. Post injection endophthalmitis is a dreaded complication that occurs following intraocular surgery or procedures such as intravitreal administration of anti-vascular endothelial growth factors or corticosteroids. We attended to a rare case of bilateral post intravitreal injection endophthalmitis in a 51- year- old female patient who presented with bilateral severe pain and acute visual loss in both eyes following intravitreal injection of Avastin (bevacizumab) the previous day. On examination, there was severely decreased visual acuity from 6/36 right eye and 6/60 left eye to hand movement in both eyes. There was also corneal haziness, fibrin in the anterior chambers, hypopyon and vitreous cells in both eyes. A clinical diagnosis of bilateral post-injection endophthalmitis was made. There was immediate administration of intravitreal antibiotics of Vancomycin 1.0mg/0.1mL and Ceftazidime 2.25mg/0.1mL with intravitreal Dexamethasone 0.4mg/0.1ml stat dose and systemic ciprofloxacin 750mg 12 hourly for 7 days. Due to prompt diagnosis and treatment vision recovery was excellent in both eyes and both eyes were preserved.","PeriodicalId":397187,"journal":{"name":"Global Academic Journal of Medical Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129324841","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 Prevalence, Causes and Prevention of Occupational Musculoskeletal Disorders","authors":"K. Tang","doi":"10.36348/gajms.2022.v04i02.004","DOIUrl":"https://doi.org/10.36348/gajms.2022.v04i02.004","url":null,"abstract":"Musculoskeletal disorders (MSDs) are collectively referring to an array of conditions affecting the human locomotor system, such as muscles, nerves, joints, tendons and spinal discs. MSDs related to work are called occupational MSDs and are typically caused by physical factors consisting of repetitive tasks, forceful exertions, awkward positions, vibration due to use of vibrational tools and prolonged staying in the same positions. These physical factors are often complicated by psychosocial factors comprising job demand, job control, social support, job satisfaction, job security, work arrangement, etc. which can aggravate the biomechanical loading imposed by physical factors, thus resulting in more severe outcomes. Besides, individual factors such as health conditions, age, education level and medical history could lead to highly variable physiological responses and internal tolerances, hence outcomes. As the physical and psychosocial risk factors vary widely in different workplaces, the prevalence of MSDs tends to vary with sectors, occupations and even regions. Generally, healthcare sector has been reported to have relatively high occupational MSDs cases in multiple nations. To prevent occupational MSDs, priority should be given to elimination of the associated risks through job and workplace designs and management. Where elimination is not practical, the risks could be reduced through modification of workplace layout, work environment, work systems and tools as well as the use of mechanical aids. Provision of information, instruction and training, and other administrative controls such as job rotation which do not target at reducing the risks would have lower priority and should be used together with other control measures of higher priority.","PeriodicalId":397187,"journal":{"name":"Global Academic Journal of Medical Sciences","volume":"56 suppl_1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120990764","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 Retrospective Study of Incidence of Fistula after Management of Perianal Abscess","authors":"F. Ahmed, G. Bose, Md. Rafiqul Alam Talukder","doi":"10.36348/gajms.2022.v04i01.006","DOIUrl":"https://doi.org/10.36348/gajms.2022.v04i01.006","url":null,"abstract":"Background: Perianal fistulas can present significant morbidity and detriment to a patient’s quality of life. Perianal fistula is among the most common anorectal diseases encountered in adults, men are more prone to be affected than women. Objective: To determine the incidence of fistula After Management of Perianal Abscess. Materials and Methods: A retrospective study of 34 patients with perianal abscess operations conducted in Dept. of Surgery, Sheikh Hasina Medical College and Hospital, Tangail, Bangladesh from January 2017 to December 2021. Their ages ranged from 20 to 68 years (40.21 ± 1.34) males (31/34) (92.64%) were more than females (3/34) (7.35%). Patients were treated with incision over the abscess under anesthesia and drainage of the abscess was done. The patients were followed up for an average 18 months (range 12–24 months) after abscess drainage or until a fistula appeared and abscess recurrence. Results: The study group comprised of 34 (92.64%) patients with perianal abscess with a median age 39 years (range 20–68 years). The mean follow-up period was identified to be 18 months (range 12–24 months). Males (31/34) (92.64%) were more than females (3/34) (7.35%). The incidence of fistula formation after follow up, the patients with perianal abscess after incision and drainage was 16/34 (47.07%) and males (15/16) (44.11%) were more than females (1/16) (2.94%). The most common site was posterior then left lateral position. The percentage of patients with recurrent abscess n = 3 (8.82%) were lower than fistula formation n =16 (47.07%). The percentage of males n = 2/3 (5.88%) were more than females 1/3 (2.94%). Conclusions: The incidence of anal fistula in a sample of Bangladeshi patients with perianal abscess was 47.05% and percentage of recurrence of perianal abscess was 8.82%. To avoid division of anal sphincter muscle, secondary fistulotomy is advised to be done later when anal fistula will be formed.","PeriodicalId":397187,"journal":{"name":"Global Academic Journal of Medical Sciences","volume":"1660 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127450307","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":"Rare Case of Giant Coccygeal Epidermoid Inclusion Cyst in Adult – A Case Report","authors":"Dr. Parthasarathi Hota, D. K. Kumari","doi":"10.36348/gajms.2022.v04i01.005","DOIUrl":"https://doi.org/10.36348/gajms.2022.v04i01.005","url":null,"abstract":"Epidermal inclusion cysts are the most common cutaneous cysts. Numerous synonyms for epidermal inclusion cysts exist, including epidermoid cyst, epidermal cyst, infundibular cyst, inclusion cyst, and keratin cyst. These cysts typically present as nodules directly underneath the patient's skin, and often have a visible central punctum. They are usually freely moveable. The size of these cysts can range from a few millimeters to several centimeters in diameter. Though can occur anywhere in the body, cysts in retrorectal or coccygeal region is quite rare, particularly in adults. Here we present a case of large coccygeal epidermoid inclusion cyst in an elderly lady.","PeriodicalId":397187,"journal":{"name":"Global Academic Journal of Medical Sciences","volume":"339 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132369459","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}