Anomalous coronary artery in a transplanted heart: a rare incidental diagnosis

Coronary artery anomaly is a rare postoperative coronary angiographic finding in heart transplant recipients. We report a case of anomalous origin of the right coronary artery in an asymptomatic 70-year-old heart transplant patient. Most coronary artery anomalies are benign, but surgical treatment may be necessary in major coronary artery anomalies that are known to have adverse outcomes

Paradoxical coronary artery embolism - a rare cause of myocardial infarction

Paradoxical coronary artery embolism is a rare, but often an underdiagnosed cause of acute myocardial infarction. It should be considered in patient who presents with chest pain and otherwise having a low risk profile for atherosclerosis coronary artery disease. We describe a case of paradoxical coronary artery embolism causing ST segment elevation myocardial infarction in a patient with upper extremity venous thrombosis. Echocardiography demonstrated a patent foramen ovale [PFO] with bidirectional shunt. In addition to treatment of acute coronary event closure of the PFO should be considered to prevent a recurrence

Dracunculiasis an incidental diagnosis in a Saudi female

Dracunculiasis is a disabling, and economically crippling parasitic infestation transmitted by drinking contaminated water. Although the disease has been eradicated from most parts of the world, it is still endemic in some tropical African countries. Here we report a 65-year-old female from the southern region of Saudi Arabia with radiological evidence of heavy load of guinea worms. This case could represent the local reemergence of the disease

unusual presentation of postpartum ovarian vein thrombosis

Ovarian vein thrombosis is a rare but potentially serious complication following childbirth. The majority of patients present during the first week postpartum, with fever and right lower quadrant abdominal pain. We report an unusual case of postpartum ovarian vein thrombosis who presented with fever, low backache, and painful thighs. A high index of suspicion is crucial to diagnose and treat this condition in order to avoid serious consequences