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Internal abdominal hernias are uncommon causes of intestinal obstruction, making them elusive in diagnosis. Paraduodenal hernias (PDH) represent the most common subset, accounting for up to 53% of all internal hernias. They occur due to herniation of the small bowel into the paraduodenal fossa. Symptomatology in a patient ranges from asymptomatic, chronic abdominal pain to acute abdomen. Although rare, a high index of suspicion of PDH is required to prevent its fatal complications such as bowel incarceration, volvulus, or strangulation. Preoperative evaluation with a computed tomography scan of the abdomen facilitates diagnosis and timely surgical intervention. We present a case of a 26-year-old male patient managed with an open surgical approach for a left PDH in an emergency with a good clinical outcome. This case report emphasizes the importance of awareness of this uncommon condition and its consideration in the differential diagnosis of acute abdomen to avert unnecessary hospitalization and surgery.

This case report presents a case of drug induced gingival overgrowth in a 28-year-old female patient with history of Coronary Artery Disease (CAD) and was prescribed digoxin in combination with furosemide and acitrom for the same. On clinical examination, the patient presented with severe gingival overgrowth. The volume of enlargement seen did not correlate solely with the diagnosis of inflammatory Gingival Enlargement (GE), hence an added drug induced component to the Gingival Overgrowth (GO) was suspected. It was decided to treat the condition using initial therapy {meticulous Scaling and Root Planning (SRP)} followed by a period of observation and maintenance. On recall, since there was no marked improvement, surgical intervention was planned. Periodic treatment combining surgery and maintenance ultimately produced the desired results clinically. Thus, this article within limits highlights that because of timerelationship between the starting of the medication that is digoxin and manifestation of GO, a causal relationship is likely.

Gastrointestinal stromal tumors (GISTs) are uncommon mesenchymal neoplasms primarily found in the gastrointestinal (GI) tract. While they typically occur in older adults, GISTs can manifest in individuals of any age. This publication paper presents a case study of a rare occurrence: a spontaneously ruptured duodenal GIST in a young female. Through an in-depth review of the literature, we aim to provide insights into the clinical presentation, diagnostic challenges, management strategies, and long-term outcomes associated with this unique clinical scenario. [ABSTRACT FROM AUTHOR]