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Papillary thyroid carcinoma is well-known for its low malignant potential with good prognostic outcome. It usually presents as a palpable thyroid mass but scarcely manifests as an isolated cervical lymphadenopathy. A 50-year-old man presented with a huge posterior cervical lymphadenopathy which was suspicious for metastatic papillary thyroid carcinoma on fine needle aspiration cytology. The thyroid gland was clinically not visible or palpable. After computed tomography of the neck, the patient was preceded with total thyroidectomy and right selective lymph node dissection. Histopathological assessment confirmed metastases in the lymph node and papillary thyroid carcinoma in the resected gland. The paper revisits this unfortunate case of huge metastatic posterior triangle papillary thyroid carcinoma, illustrating the surgical outlines and discussing literature review.

Acute pancreatitis is a common surgical emergency with a variety of aetiologies. Hypertriglyceridaemia is considered as one of the causes, especially in elevated triglyceride levels in the absence of other culprits. However, it rarely occurs in combination with oral contraceptives. We present a case of a 35-year-old woman with acute pancreatitis caused by oral contraceptive-induced hypertriglyceridaemia. This case report highlights the importance of considering rare side effects of oral contraceptives, which are commonly used by women at childbearing age. Proper clinical history and evaluation with measurements of fasting serum lipid profile in high-risk patients will help explain the aetiology of pancreatitis to avoid further morbidity in the future.

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Copyright of Paediatrics & Family Medicine / Pediatria i Medycyna Rodzinna is the property of Medical Communications Sp. z o.o. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)