1.Abolition of Beauty Marks – Calamitous Burn
Saw Shier Khee ; Shawaltul Akhma Bt Harun Nor Rashid ; Norzila Ismail ; Michael Pak-Kai Wong
Malaysian Journal of Medicine and Health Sciences 2022;18(No.1):369-371
We present a case series of two young women presented with facial chemical burns after applying the mole removal
products. In this series, we describe the potentially corrosive active ingredient that produces the chemical burn in the
natural product and the off-label or unauthorised product. The burn on the delicate facial skin leads to irreversible
disfigurement. However, with timely wound debridement and a full-thickness skin graft, the reconstruction can still
achieve a satisfactory aesthetic result.
2.SMA Syndrome – Wait & Nurture
Shier Khee Saw ; Ahmad Zuraimi Zulkifli ; Chandran Nadarajan ; Jien Yen Soh ; Mohd Azem Fathi Mohammad Azmi ; Syed Hassan Syed Abd Aziz ; Michael Pak-Kai Wong
Malaysian Journal of Medicine and Health Sciences 2022;18(No.6):353-355
Superior mesenteric artery (SMA) syndrome is rare with the common presentation of megaduodenum from entrapment of the third part of the duodenum (D3) by the SMA. We present a case report of a thin, fit 16-year-old boy,
active smoker complaining of generalized colicky abdominal pain associated with persistent postprandial vomiting.
Small bowel study demonstrated partial duodenal obstruction from compression of the third part of the duodenum
by the SMA. Computed tomography of the abdomen shows an aorto-mesenteric angle of 13 degrees with aorto-mesenteric distance of 0.32 cm, indicating SMA syndrome. His symptoms resolved spontaneously with watchful waiting
and nutritional care plan. The success was contributed to restoring the fat cushion around the SMA, hence, widening
the aorto-mesenteric angle. In conclusion, watchful waiting with a nutritional care plan is a feasible initial strategy
in the approach to SMA syndrome. However, should this strategy be unsuccessful, the choice of surgical treatment
is duodenojejunostomy.