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Salvage surgery is an acceptable option for palliative treatment of thyroid bed recurrence in metastatic papillary thyroid carcinoma when other non-invasive options fail to control local skin complications.

Diagnosis of acute low back emergencies during a systemic lupus erythematosus flare necessitates high clinical suspicion and early CT.K E Y W O R D S exacerbation, myositis, necrosis, systemic lupus erythematosus F I G U R E 1 CT revealed enlargement of superficial and deep muscles of the right gluteal and posterior thigh compartment with decreased attenuation, massive intramuscular gas collection, and stranding of surrounding fat planes How to cite this article: Boulas KA, Nathanailidou M, Sitaridis K, Filippidis I, Tsiariglis I, Hatzigeorgiadis A. Intractable low back pain during acute exacerbation of systemic lupus erythematosus.

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Although inguinal bladder hernia associated with obstructive uropathy is an extremely rare entity, it should be suspected in elderly patients with bladder outlet obstruction presented with inguinal hernia and lower urinary tract symptoms.