https://www.um.edu.mt/library/oar/handle/123456789/46424 Tue, 07 Apr 2026 13:09:49 GMT 2026-04-07T13:09:49Z https://www.um.edu.mt/library/oar/handle/123456789/46427 Title: Case number 6 : mucinous cystadenocarcinoma of the appendix Authors: Farrugia, Elena; Grazia Grech, Maria Abstract: GM, a 67-year-old female, was referred after an appendiceal mucocoele which had been noted and removed during a total abdominal hysterectomy with bilateral oophorectomy (TAH-BSO) was diagnosed on histopathology as being a mucinous cystadenocarcinoma. The patient presented with no signs or symptoms. The patient subsequently underwent a laparoscopic right hemicolectomy and is being followed up at surgical outpatients yearly to exclude recurrence of the malignancy. Thu, 01 Jan 2015 00:00:00 GMT https://www.um.edu.mt/library/oar/handle/123456789/46427 2015-01-01T00:00:00Z https://www.um.edu.mt/library/oar/handle/123456789/46426 Title: Case number 7 : Beta Thalassaemia Major with pulmonary hypertension Authors: Schembri, Christian; Gauci, Gabriel Abstract: Mr. IB, a 29-year-old gentleman, who is a known case of beta thalassemia major, was referred from the emergency department following an episode of lethargy, cough, exertional dyspnoea and dyspepsia. During his stay, a number of investigations were carried out and the patient was diagnosed with pulmonary hypertension with a mean pulmonary artery pressure of 90-100mmHg – a complication of beta thalassemia. This is the only reported case in Malta. Following the diagnosis, the patient was given a number of drugs to control his symptoms. Thu, 01 Jan 2015 00:00:00 GMT https://www.um.edu.mt/library/oar/handle/123456789/46426 2015-01-01T00:00:00Z https://www.um.edu.mt/library/oar/handle/123456789/46422 Title: Case number 5 : liver abscesses Authors: Gatt, Thomas Abstract: A 69 year-old smoker presented to casualty with a one month history of worsening right upper quadrant pain and lethargy. The patient also complained of constipation and decreased appetite. Initial examination revealed noticeable hepatomegaly while initial blood tests showed a very high white blood cell count coupled with deranged liver function tests. The patient underwent a CT abdomen pelvis, which showed 2 large pyogenic liver abscesses of unknown origin. The patient was started on antibiotics and underwent US guided drainage of the abscesses. The pus was sent to microbiology lab for microscopy, culture and sensitivity. The patient was monitored until the abscesses began to resolve and was investigated further to try and establish the cause of these abscesses. The patient was discharged 21 days post-admission. Thu, 01 Jan 2015 00:00:00 GMT https://www.um.edu.mt/library/oar/handle/123456789/46422 2015-01-01T00:00:00Z https://www.um.edu.mt/library/oar/handle/123456789/46415 Title: Case number 4 : motor vehicle accident Authors: Thompson, Joanna; Zerafa, Nicole Marie Abstract: Ms. SD is a 38-year-old female from Sliema who presented to Accident and Emergency after being involved in a motor vehicle accident. She was the pillion-rider on a motorcycle when the accident occurred and she suffered extensive wounds particularly to her left lower limb. No pulses were felt in her left leg when the ambulance arrived and a circa 10 cm segment of her tibia was lying external to her body on the road. She underwent four surgeries in less than two weeks to repair her blood supply, fix her tibia and pelvis and to close the wound using a skin graft. Another surgery was also carried out a month later to remove some areas of infection in the left tibia and to have a ring fixator applied. Thu, 01 Jan 2015 00:00:00 GMT https://www.um.edu.mt/library/oar/handle/123456789/46415 2015-01-01T00:00:00Z