1.Choledochal cyst in pregnancy
Koh KS ; Bickle I ; Mathew VV ; Chong VH
Malaysian Family Physician 2016;11(2 & 3):27-29
: Biliary diseases during pregnancy are not uncommon and are frequently due to
cholelithiasis. Choledochal cyst during pregnancy is rare. The management of biliary pathologies
during pregnancy poses a challenge as the window of opportunity to carry out any interventions with
minimal risk is small.
2.Xanthogranulomatous pyelonephritis with reno-colic fistula: A rare complication of urinary tract infection
Onn LV ; Bickle I ; Chua HB ; Telisinghe PU ; Chong CF ; Chong VH
Malaysian Family Physician 2017;12(3):33-36
Urinary tract infection (UTI) is one of the most common presentations in general practice and,in most instances, occurs in a single episode and is easily treated with a course of anti-microbialtherapy. In the case of recurrent urinary tract infections, it is important to consider evaluation forany underlying causes. We report the case of a 32 year old female who had recurrent UTIs; this wasa case of recurrent UTI secondary to xanthogranulomatous pyelonephritis from renal stones withresultant reno-colic fistula formation.
3.An unusual cause of acute abdomen and acute renal failure: Djenkolism
Sumitro Kosasih ; Yong CS ; Tan Lian Tat ; Sandy Choo ; Lim Chiao Yuen ; Shariman H ; Anand J ; Chong VH
Malaysian Family Physician 2020;15(2):50-52
Te djenkol bean (Archidendron pauciforum) is a native delicacy in Southeast Asia, though
consumption can sometimes lead to djenkolism. Clinical features of djenkolism include acute
abdominal pain, hematuria, urinary retention, and acute kidney injury (AKI). Te pain can be
severe, which often leads to a misdiagnosis of acute abdomen. In this paper, we report the case of
an Indonesian migrant with djenkolism. Due to the short history and severity of the abdominal
pain, medical professionals suspected acute abdomen and proceeded with a negative exploratory
laparotomy. However, djenkolism was suspected once relatives informed the professionals that the
patient had consumed djenkol beans hours earlier. Te patient recovered through aggressive hydration
and urine alkalinization with bicarbonate infusion. We highlight the importance of being aware of
this rare cause of AKI, especially in Southeast Asia, in order to provide early diagnoses and prompt
treatments.