The authors report the case of an isolated aneurysm of the deep femoral artery of a 60-year-old patient with no specific medical and surgical history in whom the examination found ischemic syndrome of the lower limb. She received a full cure under locoregional anesthesia, the surgical outcome of which is favorable. We review the literature and take stock of aneurysm pathology.

Background: Colorectal cancer is one of common cancers and second cause of death worldwide. In Sudan unfortunately there is few statistical date regarding colorectal cancer and its geographical, ethnic distribution, and pattern of presentation because of lack of statistics or underreporting. Objective: To study pattern of presentations and surgical outcome of colorectal cancer in Sudanese patients. Patients and methods: This study is descriptive cross sectional between (2014-2019); a prospective and retrospective study of histological confirmed cases of colorectal cancer was conducted at SUH. All patients who met the inclusion criteria were involved in the study. Results: We studied (124) patients in the period between (2014–2019). Highest percentage of the patients 78 (62.9%) aged between 46 – 70 years. The mean age was 67±2.4 years. Male to female ratio1.3:1. Rectal bleeding and altered bowel habits were the most frequent presenting symptoms. Left side colonic carcinoma was 82.7% represented the majority of cases with rectal tumor account for 49.2% of all cases. In preoperative, stage B was reported in majority of patients 74(59.7%). The most common surgical managements done for the patients were low anterior resection with or without ileostomy or colostomy32 (36.8%), APR 24(19.3%), left hemicolectomy 15(12.1%), right hemicolectomy 18(14.5%), sigmoid colectomy 9(7.3 and total colectomy 4(3.2%). Final histopathology reports showed that the 65% of the sample were moderately differentiated adenocarcinoma 76(61.3 %). the most frequent reported postoperative complication was surgical site infection 8(6.5%) and anastigmatic leak 3(2.4). Conclusion: The mean age of patients in this study was 67±2.4 year, with male to female ratio of 3:1. Rectal bleeding altered bowel habits were the most frequent presenting symptoms and anemia more common in right site. The most common endoscopy findings were rectal tumor, followed by anal tumor, sigmoid colon, ceacal and ............. .

Background: Thyroid carcinoma, in most cases, presents clinically as a solitary nodule or as a dominant nodule within a multinodular thyroid gland. Higher serum TSH levels have been found associated with advanced stages of thyroid cancer. Objective: The aim of the study was Association of Thyroid Stimulating Hormone (TSH) with Thyroid Carcinoma. Methods: This cross-sectional study was conducted at the Department of surgery and ENT, Sir Salimullah Medical College and Midford Hospital, Dhaka, Bangladesh from the period of July 2012 to June 2014. A total of 116 patients were included for the study according to following inclusion and exclusion criteria. Other necessary investigations were done if clinically indicated. Statistical analysis of the results was obtained by using window-based computer software devised with Statistical Packages for Social Sciences (SPSS-24). Results: Out of 116 patients; 30 (25.9%) patients were 15 to 30 years of age, 53 (45.7%) were 31 to 45 years old, 29 (25%) were 46 to 60 years old and only 4 (3.4%) were 61 to 75 years old. The highest patients were belonging to 31 to 45 years age group. The mean age of the patients was 39.5 years. Majority (81.9%) of the patients was female and the rest (18.1%) were male. The most common tumor size was found to be around 2 to 4 cm (28), >4 cm (15) and <2 cm (15) respectively. Majority of the patients 68.1 % were suffering from benign tumor and 12.9% were suffering from malignant tumor. Majority patients with benign and papillary carcinoma had TSH level of 0.1 to 2 mlU/L. Conclusion: Patients with elevated TSH levels are more likely to experience differentiated carcinoma than people with low TSH levels. To generalize these results linking the differences in TSH levels between differentiated thyroid carcinoma and benign thyroid enlargement, multicenter hospital population-based studies are required.