In this report, we describe the rare presentation of a cystic intraparotid facial nerve schwannoma (IPFNS) in a young female who initially presented with a painful unifocal parotid mass gradually enlarging over 5 years. Preliminary imaging and cytology offered this to be a Warthin’s tumour. Here we describe the limitations of current diagnostic tools in the workup of intraparotid cystic lesions and highlight the importance of keeping rare tumours in mind to optimize pre-­surgical management.

Ectopic pregnancy is a life-threatening condition and is still considered as one of the most important causes of maternal mortality. Ectopic twins is a very rare type of ectopic pregnancy. Incidence of twin tubal pregnancy is 1 out of 725-1580 tubal pregnancy and 1in 200000 pregnancies. Very limited number of viable twin ectopic pregnancies have been reported in the literature Spontaneous twin tubal ectopic pregnancy is even rarer with reported incidence of1 in every 125,000 spontaneous pregnancies. In literature review there are more than 100 cases of twin tubal pregnancy have been reported, there are only a few cases with documented fetal heart motions in both embryos or fetuses.

There are patients who complain of giving off a fishy smell through the skin and sweat, which can be a cause of stress in which the doctor often fails to accept this situation, or even the patient or his family members are ashamed of communicate these symptoms, causing their isolation. Trimethylaminuria, also called fish smell syndrome or fish smell syndrome, is a very rare metabolic disorder that presents an autosomal recessive inheritance pattern, causing an alteration in the function of the enzyme flavinmonooxygenase 3 (FMO3 ). On the other hand, the presence of alterations in the inflammatory chain that governs the complement cascade is responsible for clinical situations that require an accurate diagnosis, such as Hereditary Angioedema, since their evolution can be the origin of clinical complications, serious times We present a case of family Trimethylaminuria in which the affected are two brothers of 2 and 6 years, and whose diagnosis could be obtained since the male patient presented an outbreak of inflammation of the face finally identified as Hereditary Angioedema.

Introduction: while journal clubs are a time-honored method of reviewing and discussing the scientific literature in medicine, hitherto there is no universally accepted definition of that. Purpose of the present study involved a comparison between instructive values of meetings that are directed by an authentic faculty member in comparison with conferences that are usually coached by chief residents. Methods: Forty-two psychiatric residents (from two psychiatric training centers) have been quizzed about the intentions, principles or importance of journal club. Both of said colleges had comparable settings, conferences and alike standard psychiatric journals. In one of them the papers were chosen usually by chief resident, who was as well coordinator of the conferences, while in the other one, articles were chosen habitually by a faculty member, as director and coordinator of sessions. After at least one year of attending in associated sessions, all the participants were asked to answer incognito to a Survey Questionnaire, including 23 questions, involved multiple answers, with different Coding Categories. Analysis of data was performed by way of ‘Comparison of Proportions’. Quantities in each group, as well, were analyzed in line with percentage of responds to different Coding Categories. Significance was defined as P=0.05. Results: While all participants replied questionnaires, significant difference was evident between two groups regarding their response to at least twelve questions. Judgment of residents were generally and remarkably different with regard to : ‘goals’ , ‘format’ ,’necessity of attendance’ ,’quality of participation of faculty’ , ‘educational value of core curriculum of journal club’, ‘its critical role with regard to research and appraisal of topics ‘, and in conclusion ‘as a resource for continuous education’. Conclusion: While journal club formats are educationally diverse and appear to be more effective if they have a leader, disciplined organization of journal club by a skilled faculty member may enhance scientific insight and instructive gratifications of apprentices.

Castleman’s disease, also known as angiofollicular lymph node hyperplasia or giant lymph node hyperplasia, is a rare benign B-cell lymphoproliferative disorder of unknown etiology. We report a case of a 23-year old woman with mesenteric Castleman’s disease of plasma cell variant presented as a palpable mass in the left iliac fossa.