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Wong AR, Amelia A, Mohd Zain MR, Sayuti KA. Left aorto-ventricular tunnel: A differential diagnosis to aortic regurgitation. Med J Malaysia 2022; 77:101-103. [PMID: 35087005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Left aorto-ventricular tunnel is a rare congenital heart disorder. A then 19-year-old young lady was referred to our clinic for chronic rheumatic heart disease with aortic regurgitation. However, because of an almost continuous murmur, and an unusual transthoracic echo, she underwent various investigations, finally revealing a rare type 2 left aorto-ventricular tunnel. She had been variously diagnosed as chronic rheumatic heart disease with aortic regurgitation, bicuspid aortic valve with aortic regurgitation, and then possibly coronary arterial (cameral) fistula (based on 2D transthoracic echo) and finally left aorto-ventricular tunnel. This is the first case described in South East Asia who is asymptomatic, apart from a murmur, and her long journey to this final diagnosis illustrates the need to "chase shadows" on echoes, to come to a proper conclusion for the patient.
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Affiliation(s)
- A R Wong
- Universiti Sultan Zainal Abidin, Faculty of Medicine, Dept of Pediatrics, Malaysia.
| | - A Amelia
- Hospital Raja Perempuan Zainab II, Dept of Pediatrics, Malaysia
| | - M R Mohd Zain
- Universiti Sains Malaysia, School of Medical Sciences, Dept of Pediatrics, Malaysia
| | - K A Sayuti
- Universiti Sains Malaysia, School of Medical Sciences, Dept of Radiology, Malaysia
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Kandiah R, Aziz A, Nik Min NFA, Rahim MR, Zawawi N, Sayuti KA, Nadarajah S, Mohamad I. Lichenoid uvula mass as a rare cause of hot potato voice and progressive dysphagia. Malays J Pathol 2021; 43:457-461. [PMID: 34958068] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Lichenoid uvula mass is an unusual entity and the clinicopathologic entities are important for the diagnosis. In this case report, we report an elderly lady presented with dysphagia and "hot potato voice" due to a lichenoid uvula mass. Apart from muffled voice, the other associated symptoms are dysphagia, sore throat, globus pharyngeus and snoring. She was a non-smoker, and not on any medications except for hypertension and dyslipidaemia. Apart from the enlarged uvula, other parts of the oral cavity, oropharynx and larynx were normal. She has no other signs such as cutaneous lesions. The mass was excised under general anaesthesia followed by resolution of symptoms. Awareness of this entity, the clinical and histopathological features should be highlighted to differentiate it from other diagnosis.
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Affiliation(s)
- R Kandiah
- Universiti Sains Malaysia, School of Medical Sciences, Department of Otorhinolaryngology-Head & Neck Surgery, Health Campus, Kota Bharu, Kelantan, Malaysia
| | - A Aziz
- Universiti Sains Malaysia, School of Medical Sciences, Department of Otorhinolaryngology-Head & Neck Surgery, Health Campus, Kota Bharu, Kelantan, Malaysia
| | - N F A Nik Min
- Universiti Sains Malaysia, School of Medical Sciences, Department of Pathology, Health Campus, Kota Bharu, Kelantan, Malaysia
| | - M R Rahim
- Universiti Sains Malaysia, School of Medical Sciences, Department of Radiology, Health Campus, Kota Bharu, Kelantan, Malaysia
| | - N Zawawi
- Universiti Sains Malaysia, School of Medical Sciences, Department of Pathology, Health Campus, Kota Bharu, Kelantan, Malaysia
| | - K A Sayuti
- Universiti Sains Malaysia, School of Medical Sciences, Department of Radiology, Health Campus, Kota Bharu, Kelantan, Malaysia
| | - S Nadarajah
- Trafalgar Memorial Hospital, Department of Otorhinolaryngology, Oakville, Ontario Canada
| | - I Mohamad
- Universiti Sains Malaysia, School of Medical Sciences, Department of Otorhinolaryngology-Head & Neck Surgery, Health Campus, Kota Bharu, Kelantan, Malaysia.
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Syahmi WM, Mafauzy MM, Baharuddin KA, Ikhwan SM, Sayuti KA, Mohd Shukruddeen S. Elephant attack - A rare case of survival. Med J Malaysia 2021; 76:741-743. [PMID: 34508386] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
Conflict of human-wild elephant is not uncommon in Malaysia. Most of the human victims usually succumb to death due to internal organ injuries. Here we report a case of a woman who was the victim of an elephant attack and successfully survived to share our experience in managing this type of polytrauma.
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Affiliation(s)
- W M Syahmi
- Universiti Sains Malaysia, School of Medical Sciences, Department of Emergency Medicine, Kubang Kerian, Kelantan, Malaysia
| | - M M Mafauzy
- Universiti Sains Malaysia, School of Medical Sciences, Department of Emergency Medicine, Kubang Kerian, Kelantan, Malaysia.
| | - K A Baharuddin
- Universiti Sains Malaysia, School of Medical Sciences, Department of Emergency Medicine, Kubang Kerian, Kelantan, Malaysia
| | - S M Ikhwan
- Universiti Sains Malaysia, School of Medical Sciences, Department of Surgery, Kubang Kerian, Kelantan, Malaysia
| | - K A Sayuti
- Universiti Sains Malaysia, School of Medical Sciences, Department of Radiology, Kubang Kerian, Kelantan, Malaysia
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Abdul Rahim AF, Roslan NS, Shuaib IL, Abdullah MS, Sayuti KA, Abu Hassan H. Setting Standards for Judging the Rapid Film Reporting Section in Postgraduate Radiology Assessment: a Feasibility Study. Hong Kong Journal of Radiology 2021. [DOI: 10.12809/hkjr2117199] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Affiliation(s)
- AF Abdul Rahim
- Department of Medical Education, School of Medical Sciences, Universiti Sains Malaysia, Malaysia
| | - NS Roslan
- Department of Medical Education, School of Medical Sciences, Universiti Sains Malaysia, Malaysia
| | - IL Shuaib
- Department of Radiology, Advanced Medical and Dental Institute, Universiti Sains Malaysia, Malaysia
| | - MS Abdullah
- Department of Radiology, School of Medical Sciences, Universiti Sains Malaysia, Malaysia
| | - KA Sayuti
- Department of Radiology, School of Medical Sciences, Universiti Sains Malaysia, Malaysia
| | - H Abu Hassan
- Department of Radiology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Malaysia
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Samarakkody ZM, Sayuti KA, Mat Zin AA, Wan Abdul Wahab W, Mohamad I. Coughing on palpation: A rare complication of vagal schwannoma. Malays Fam Physician 2018; 13:40-43. [PMID: 30800234 PMCID: PMC6382085] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Cervical vagal schwannoma is an uncommon, benign neoplasm. It is usually asymptomatic and presents as a painless, palpable mass in the neck. However, large schwannomas can cause dysphagia, dysphonia or dyspnea as a result of compression. We report a case of an extremely rare complication of vagal schwannoma in which neck palpation induced the patient to cough. As the patient refused any surgical intervention, conservative management was used.
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Affiliation(s)
- Z M Samarakkody
- (MD) Department of Otorhinolaryngology - Head and Neck Surgery Universiti Sains Malaysia Health Campus,16150, Kelantan Malaysia
| | - K A Sayuti
- (MBBCh) (MMed Radiology) Department of Radiology, Universiti Sains Malaysia Health Campus, Malaysia
| | - A A Mat Zin
- (MD) (MMed Anatomic Pathology) Department of Pathology, Universiti Sains Malaysia Health Campus, Malaysia
| | - Wnn Wan Abdul Wahab
- (MD) (MMed Anatomic Pathology) Department of Pathology, Universiti Sains Malaysia Health Campus, Malaysia
| | - I Mohamad
- (MD) (MMed ORL-HNS) Department of Otorhinolaryngology - Head and Neck Surgery Universiti Sains Malaysia Health Campus, Malaysia
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