Radiance Research AcademyInternational Journal of Current Research and Review2231-21960975-5241176EnglishN2025March23Healthcare Search the Culprit - Case Report on Malignant Pericardial Effusion with Life Threatening Cardiac Tamponade       English0104Chandra Shekara ReddyEnglish Arun SrinivasEnglish Guru PrasadEnglish Introduction: Malignant massive Pericardial Effusion (PE) with Tamponade is life threatening and prompts immediate manage-ment. Case Report: We report a case of massive malignant PE with Tamponade in a 40-year-old female with uncommon symptoms. She was immediately survived after an emergency Pericardiocentesis. It’s HPE analysis, confirms presence of Mesothelioma. With multi-modality approach - we extensively searched for primary source of malignancy with Specific blood tests, Pleural & pericardial Fluid analysis, CT thorax & Pulmonary angiograms, Upper GI endoscopy and Sigmoidoscopy. With all negative reports, then referred to Oncology center, where diagnosed as adjacent left lower lobe of lung Mesothelioma by PET Scan. Un-derwent successful Left Lung Lobectomy and clinical follow-up confirms recovery. Conclusion: Malignant Massive Pericardial Effusion with Tamponade is a serious condition. Primary goal of management is immediate Pericardiocentesis, followed by extensive search for Primary Metastatic Neoplastic locations. Survival rate increases with early diagnosis and prompt management. EnglishMesothelioma, Pericardiocentesis, Primary Pericardial Malignancy, Secondary Metastasis, CT thorax, PulmonaryAngiogramshttp://ijcrr.com/abstract.php?article_id=4843http://ijcrr.com/article_html.php?did=4843 1. Burazor I, Imazio M, Markel G, Adler Y. Malignant pericardial effusion. Cardiology. 2013 Apr 5; 124(4):224-32. 2. Adler Y, Charron P, Imazio M, Badano L, Barón-Esquivias G, Bogaert J, et al. 2015 ESC guidelines for the diagnosis and management of pericardial diseases the task force for the diag- nosis and management of pericardial diseases of the European society of cardiology (ESC) endorsed by: the European asso-ciation for cardio-thoracic surgery (EACTS). Eur Heart J. 2015; 36(42):2921-64. 3. Istomin V, Blondheim DS, Meisel SR, Frimerman A, Lapidot M, Rachmilevitch R. Pericardial effusion due to primary malignant pericardial mesothelioma: a common finding but an uncommon cause. Case Rep Med. 2016; 2016(1):4810901. 4. Banham-Hall EJ, Bokhari AM. Malignancy with unknown primary presenting as acute cardiac tamponade: a case report. Cases J. 2009 Dec; 2:1-4. 5. Vemireddy LP, Jain N, Aqeel A, Jeelani HM, Shayuk M. Lung adenocarcinoma presenting as malignant pericardial effusion/ tamponade. Cureus. 2021 Mar 8;13(3):e13762 6. Gluer R, Murdoch D, Haqqani HM, Scalia GM, Walters DL. Pericardiocentesis–How to do it. Heart Lung Circ. 2015 Jun 1; 24(6):621-5. 7. Sinnaeve PR, Adriaenssens T. A contemporary look at pericardi-ocentesis. Trends Cardiovasc Med. 2019 Oct 1; 29(7):375-383.

Radiance Research AcademyInternational Journal of Current Research and Review2231-21960975-5241176EnglishN2025March23Healthcare Anatomical and Embryological Aspects of Sprengel Scapula–A Case Report   English0507Gagandeep KaurEnglish Seema SehmiEnglish Introduction: Sprengel scapula is an uncommon congenital abnormality in which scapula fails to descend down to the normal position. Case Report: A boy aged 8-year- old presented with Sprengel scapula on right side. Posteroanterior Chest radiograph was taken and this anomaly was confirmed. Conclusion: A detailed knowledge of anatomical basis will help orthopedic surgeons to improve the success rate and lowering the complications of different surgical procedures. EnglishSprengel, Embryology, Congenital, Scapula, Anatomical, Surgical Procedureshttp://ijcrr.com/abstract.php?article_id=4846http://ijcrr.com/article_html.php?did=4846 1. Harvey EJ, Bernstein M, Desy NM, Saran N, Ouellet JA. Spren gel Deformity: Pathogenesis and management. 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Schneider Klippel Feil Syndrome and Sprengel deformity combined with an intraspinal course of the left subclavian artery and a bovine aortic arch variant. AJNR. Am J Neuroradiol. 2008; 29:306-7. 15. Fontecha CG, Navarro Cano EN, Soldaro F, Barber I. Severe Sprengel’s deformity associated with Klippel-Feil Syndrome and a complex vascular abnormality that determined the correc tive surgery technique. J Pediatr Orthop. B. 2014; 23:589-93. 16. Genim G. Anomalies osseuses constitutionnelles Sauramps Medical, Paris. 2008. 17. Wilson MG, Mikity VG, Shinno NW: Dominant inheritance of Sprengel’s deformity. J Pediatr 1971; 79(5):818-21. 18. Hensinger RN, Lang JE, MacEwen GD. Klippel –Feil syn drome: a constellation of associated anomalies. J Bone Sur Am. 1974; 56: 1246-53. 19. Harvey EJ, Bernstein M, Desy NM, Saran N, Ouellet JA. Spren gel deformity: pathogenesis and management. J Am Aca Ortho Surg. 2012; 20; 177-86. 20. Stelzer JW, Flores MA, Mohammad W, Esplin N, Mayl JJ, Wa syliw C: Klippel Feil Syndrome with Sprengel deformity and extensive upper extremity deformity: A case report and literature review. Case Rep Orthop. 2018:579730. 21. Satis S, Alparslan N, Tuna M, Dere O, Yetisgin A. Bilateral mul tilevel cervical rib and bilateral omovertebra in Klippel –Feil Syndrome. World Neurosurg. 2020; 136:62-65. 22. Andrault G, Salmeron F, Laville JM. Green’s Surgical procedure in Sprengel’s deformity: Cosmetic and Functional results. Or thop Traumatol Surg Res. 2009; 95: 330-35. 23. Wada A, Nakamura T, Fujii T, Takamura K, Yanagida H, Yama guchi T et al. Sprengel deformity: Morphometric assessment and surgical treatment by the Modified Green procedure. J Pediatr Orthop. 2014; 34: 55-62. 24. Ashok A, James D, Gahukamble A, Palocaren T, Madhuri V. Modified Woodward’s procedure confers functional improvement in Sprengel’s deformity. J Pediatr Orthop B. 2020; 30;585-92. 25. Alsiddiky AM, Rafiq Z, Bakarman KA, Alhuzaimi FS, Asif M. A novel modification of Woodward Procedure for correction of Sprengel deformity by application of anchoring sutures. Ind J Orthop. 2021; 55: 189–198. [CrossRef] [PubMed] 26. Mears DC. Partial resection of the scapula and a release of the long head of triceps for the management of Sprengel’s deform ity. J Pediatr Orthop. 2001;21: 242-45. 27. Masquijo JJ, Bassini O, Goyeneche R, Miscione H. Congenital elevation of the scapula: Surgical treatment with mears tech nique. J Pediatr. Orthop. 2009; 29: 269-74. 28. Dhir R, Chin K, Lambert S. The congenital undescended scapula syndrome: Sprengel and the cleithrum: A case series and hypoth esis. J Shoulder Elbow Surg. 2018; 27:252-59. 29. Konig F. Operations performed in congenital scapular dysplasia. Zentralbl. Chir.1913; 40: 1186. 30. Greitemann B, Rondhuis JJ, Karbowski A. Treatment of congeni tal elevation of the scapula; 10(2-18) years follow up of 37 cases of Sprengel deformity. 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