A 28-year-old female patient with a history of sleeve gastrectomy presented to the emergency department with progressively worsening lower back and leg pain. The pain was described as a constant dull ache, exacerbated by movement and relieved by rest.
Case Reports
Thrombus in the Common Carotid Artery Caused by Penetrating Injury with a Bull Horn: A Case Report
A 40-year-old man was brought to the emergency department after being gored in the neck by a bull. His general condition and vital signs were stable. No neurological deficit was detected. There was no significant bleeding in the wound area. The patient’s left carotid pulse could be palpated.
Paradoxical Embolization of an Intravenous Catheter Fragment through Patent Foramen Ovale: A Rare Case of Acute Limb Ischaemia
Although the COVID-19 pandemic has ended, its long-term cardiovascular effects remain unclear. This study evaluated persistent changes in blood pressure (BP) patterns among recovered COVID-19 patients.
Persistent left superior vena cava from a pulmonology perspective
Persistent left superior vena cava (PLSVC) is a congenital vascular anomaly that is often asymptomatic and typically discovered incidentally. In this case, the patient had a known cardiac anomaly, and PLSVC was diagnosed following cardiological suspicion.
Case report of a patient with acenocoumarol resistance following therapy for infective endocarditis with rifampicin and gentamicin combination therapy
Vitamin K antagonists (VKAs) are essential for anticoagulation in patients with mechanical heart valves, but are affected by drug interactions, particularly with rifampicin – a potent inducer of CYP2C9 that accelerates VKA metabolism and destabilises INR levels.
Echocardiographic diagnosis of a pulmonary artery sling: what kept it hidden for seven years?
Pulmonary artery sling (PAS) is a rare cardiovascular anomaly, occurring in approximately 1 in 17,000 individuals, often leading to severe tracheal compression and respiratory distress. This case report details the diagnosis, treatment, and follow-up of a seven-year-old female patient with PAS, a condition that remained undiagnosed for years despite multiple hospitalisations.
Late mediastinal haematoma compressing the left atrium after circumflex artery perforation
Mediastinal hematoma is a very rare complication during percutaneous coronary interventions. It is almost always observed because of large artery injuries when the radial route is used, and symptoms manifest themselves in the acute setting. In this case, we presented a mediastinal hematoma occurred at the late phase of coronary artery perforation through a femoral access.
Anomalous aortic origin of the coronary arteries: a presentation of three cases and review of the literature
In this retrospective review of three patients presenting with anomalous aortic origin of the coronary arteries (AAOCA), we sought to highlight the varying presentations, discuss the optimal diagnostic imaging strategy and review current guidelines on the management of this condition. Over a one-year period three patients with AAOCA were identified. Pertinent data were extracted from case records...
An unexpected diagnosis: Brugada Syndrome in a healthy Kenyan male athlete
In this report, we describe an unexpected finding of Brugada Syndrome (BrS) in a young Kenyan athlete presenting with multiple episodes of syncope. This diagnosis could be the index case of BrS in the country, a diagnosis that is well described in Asia and the West, but rarely in Sub-Saharan Africa. A healthy 25-year-old male patient was referred by his teammate for episodes of syncope while...
Cutaneous rupture of infected carotid artery pseudoaneurysm following neck dissection and radiotherapy for thyroid cancer
We report a case of a 72-year-old man with advanced thyroid cancer who presented with massive neck bleeding from a ruptured infected pseudoaneurysm of the left common carotid artery, following radical neck dissection and radiotherapy. Due to active haemorrhage, tissue infection, and haemodynamic instability, endovascular treatment was contraindicated. Emergency surgical ligation of the left...

