We present the first case of a large true uterine artery aneurysm, with a 5-cm diameter, in a 35-year-old nulliparous woman who presented with lower abdominal pain and dyspareunia. She underwent successful ligation and excision of the aneurysm using the Pfannenstiel approach. The diagnostic modalities and treatment option for such a case is discussed herein.

Background:Perthes disease is a condition in which a self-limiting avascular event affects the capital epiphysis of the femur with a very variable course. It has been shown frequently, however, that there is a group of patients who definitely benefit from containment, either surgical or nonsurgical, better with surgical. We studied midterm to long term outcome of closed wedge varus derotation osteotomy (VDRO) with trochanteric apophysiodesis in Perthes disease.Materials and Methods:88 children with mean age of 7.9 ± 2 years, belonging to Herring's lateral pillar Groups B and C treated with VDRO with trochanteric apophysiodesis were included in this study. Radiological evaluation was done using Mose's index, the epiphyseal quotient, the articulotrochanteric distance and center edge angle of Wiberg.Results:Containment was achieved in all patients on postoperative radiographs. At a mean followup of 12 years, good results were obtained in 66, fair in 19, and poor in 3 patients using Catterall's postoperative classification.Conclusions:VDRO is an effective containment method of femoral head for patients belonging to the Herring's Group B and also effective in many patients belonging to Herring's Group C. It is a good procedure to attain containment in children <9 years of age. Trochanteric apophysiodesis reduces risk of limping.

A substantial portion of cervical spine injuries occurs due to maxillofacial trauma. A delay in the identification of cervical injuries can result in major neurological issues, paralysis, and even death. Therefore, early detection of cervical fractures in patients with maxillofacial trauma is crucial. Aim: The goal of the study is to assess the incidence of cervico-spinal injuries in patients with oral and maxillofacial trauma. Methods: This cross-sectional study was carried out at the Oral and Maxillofacial Surgery department of Mayo Hospital, Lahore for the duration of one year from January 2021 to January 2022. A total of 120 maxillofacial trauma patients treated at the oral surgery department. By using computed tomography, lateral and anteroposterior X-rays; all patients were evaluated for cervical spine injuries. The dependent and independent variables' information was gathered using a structured questionnaire. Results: In 4 (3.3%) patients, cervical spine and maxillofacial injuries were found. Six males and two women were involved in the ten Cervical-spine injuries. The ratio of men to women was 4:1. Despite the low frequency of cervical injuries related with maxillofacial fractures, suitable and precise recommendations for the diagnosis and treatment of these cervical injuries must be adopted to avoid permanent disability and even death. Keywords: Frequency, Maxillofacial trauma, Cervical spine injury