Pseudomesotheliomatous lung carcinoma of poorly differentiated large cell type: a case report and review of the literature

A 46-year-old female presented with a 20-day history of right pleuritic chest pain and progressive shortness of breath. She was found to have a right pleural based malignancy initially thought to be a malignant mesothelioma but staining with the mesothelioma tumor markers calretinin, HBME-1 and CK5/6, was negative. Some epitheial markers were positive and microscopically it was consistent with a poorly differentiated large-cell carcinoma. The case was diagnosed as a pseudomesotheliomatous lung carcinoma of poorly differentiated large-cell type

Neonatal appendicitis in an incarcerated inguinal hernia

Acute appendicitis is rare in newborn and premature. Only a hundred of cases are reported in literature. The diagnosis is difficult and often delayed, leading to complications and a high mortality rate. When appendicitis occurs in a hernia, the prognosis seems better. The authors report a case of acute appendicitis in incarcerated inguinal hernia in a newborn. The diagnosis was made by surgery without post-operative complications

Postoperative intraocular pressure rise in aphakic and pseudophakic eyes at the Rawalpindi general hospital

Out of a total of 915 patients, ranging in age from 40 to 65, who underwent unilateral cataract extraction [intraocular, 54 eyes, planned extracapsular, 715 eyes, and extracapsular with posterior chamber intraocular lens implantation, 146 eyes], 549 [60%] did not return for follow-up. In 366 patients who kept their follow-up appointment, we carefully monitored postoperative intraocular pressure [IOP]. In first two postoperative weeks, IOP remained elevated to 22-30 mmHg in 14 [5%] and to higher than that in seven [3%] of the extracapsularly aphakic eyes. In pseudophakic eyes, IOP elevation to 22-30 mmHg occurred in 16 [20%] eyes and to more than that in six [7%] eyes. In 29 intracapsular cataract extractions, no eye developed postoperative IOP elevation. All of the eyes in our study had normal IOP [<21 mmHg] before surgery. Overall, out of a total of 366 post-cataract extraction eyes, 43 [12%] showed a significant rise in IOP in first two postoperative weeks. Retained lens matter in pseudophakic eyes and postoperative inflammation in extracapsularly aphakic eyes were the most common causes of IOP elevation. Papillary block glaucoma occurred in three extracapsularly aphakic eyes, two of these with a posterior chamber implant [Pakistan Journal of Ophthalmology 8:43-44, April, 1992]