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Foreign bodies in the urinary bladder have been widely reported in the medical literature and include needles, bullets etc. However, a mobile phone charger cable in the bladder has not yet been reported. We report the case of a patient with a mobile charger cable in the urinary bladder. The patient was not able to retrieve it later because of knotting. Beyond primary management, the role of the surgeon also extends to educating such patients against repeating similar acts in the future. They should also refer the patient to a complete psychiatric evaluation and at the same time investigate the emotional background and circumstances under which the act was committed. A 36-year-old male patient was admitted to our department complaining of haematuria and the inability to void. On examination, the cable end could not be seen at the external urethral meatus. A plain X-ray of the KUB region revealed a radiopaque cable knotted within the urinary bladder. Foreign bodies inside the urinary bladder can be classified as migratory, iatrogenic and inserted. They may present with features of bladder obstruction, irritation as well as haematuria and complications that include recurrent infections, urinary retention, fistulae and even death due to sepsis.Diagnostic modalities include X-rays and ultrasonography, as well as urography and cystoscopy in selected cases. A wide multitude of foreign bodies can be inserted into the urinary bladder. Such patients usually suffer from psychiatric problems, hence a thorough psychiatric assessment is needed. Endoscopic removal is the treatment of choice with open surgical removal reserved for endoscopic failure cases.

Background: Numerous new approaches have been described over the years to improve the cosmetic outcomes of thyroid surgery. Transoral approach is a new technique that aims to achieve superior cosmetic outcomes by concealing the incision in the oral cavity. Methods: Transoral thyroidectomy through vestibular approach was performed in two institutions on cadaveric models. Procedure was performed endoscopically in one institution, while the robotic technique was utilized at the other. Results: Transoral thyroidectomy was successfully performed at both institutions with robotic and endoscopic techniques. All vital structures were identified and preserved. Conclusions: Transoral thyroidectomy has been performed in animal and cadaveric models, as well as in some clinical studies. Our initial experience indicates the feasibility of this approach. More clinical studies are required to elucidate its full utility.

To estimate the lung function prediction equation and to calculate appropriate normal reference values for the Pakistani adults living in Karachi.Predicted equations for normal lung functions were derived from 504 healthy non-smoking subjects including 321 males and 183 females aged 15-65 years. The subjects underwent measurement of spirometric flow and volume. The following variables were measured: forced vital capacity (FVC), forced expiratory volume in one second (FEV1), maximal mid expiratory flow (MMEF) and peak expiratory flow (PEF). Regression analysis using height and age as independent variables were applied to provide predicted values for both sexes.There was negative correlation between each pulmonary function and age. All parameters correlate positively with height. The largest negative correlation was found for FEV1 and FVC in males, while the largest positive correlation was observed for FVC in females.In this study set of PFT reference values and prediction equations for both sexes have been derived using healthy, non-smoking urban Pakistani population which was different from several other prediction equations.

Acute appendicitis is one of the most common emergencies handled by a surgeon. Various aetiologies of acute appendicitis have been proposed but none have been proved. Trauma too has been proposed as a cause of acute appendicitis. Here we present a case of blunt trauma abdomen which was explored to rule out a perforation of hollow viscous organ and haemoperitoneum, but at the time of exploration a perforated appendicitis was found. The chronological order of events points towards blunt trauma as the probable cause of this appendicitis. This case also highlights the fact that even if trauma was not the cause of acute appendicitis, acute appendicitis should still be kept in the differential diagnosis of a patient presenting with pain in the right lower abdomen and a history of trauma.