ST elevation myocardial infarction in a healthy teenager with no risk factors

Myocardial infarction is not common in patients younger than 45 years. Young patients can experience a myocardial infarction in the presence or absence of atherosclerosis. We report a case of an 18-year-old male patient who presented with chest pain in the emergency department. There were neither any risk factors of coronary artery disease nor any co-morbidity. Investigations revealed an acute myocardial infarction with ST-segment elevation in ECG. On coronary angiography, mid 90% thrombus was seen in the left anterior descending artery, the cause of which remains unknown. Although rare, acute myocardial infarction should be considered in young adults or teenagers presenting with chest pain. Also, it can affect teenagers in the absence of traditional coronary risk factors or co-morbidities

Deodorant cap lodged in the rectum: A case report

Anorectal foreign bodies are rare but have shown a rising trend in recent times. Various kinds of a foreign object may be observed in the rectum, including sharp instruments which may pierce rectum, colon, or create visceral organ injuries. Most common presenting symptoms include abdominal, rectal pains and bleeding per rectum. Without proper history and examination, these foreign objects can easily be missed in the emergency department as these are still a matter of taboo especially in countries like India. We report a case of anelderly gentleman who presented to the emergency with bleeding per rectum and did not initially give a history of foreign body insertion

Unilateral traumatic adrenal hemorrhage with shock

Trauma to the adrenal glands is very rare. The variation in clinical manifestations is marked and markers for its diagnosis being limited, makes it tough to be diagnosed. Computed tomography remains the gold standard for detecting this injury. Prompt recognition and the potential for mortality with adrenal insufficiency can provide the best guidance for the treatment and care of the severely injured. We present a case of a 33-year-old trauma patient who was not responding to the management of his shock. He was finally found to have a right adrenal haemorrhage leading to adrenal crisis. The patient was resuscitated in the Emergency Department but succumbed 10 days post admission