iosr-JDMS   Volume-25 ~ Issue-3 ~ March 2026

Abstract: Lipoma, a very common benign tumor of mesenchymal origin can emerge anywhere in the body; however, its intra- oral counterparts are very rare, with approximately 1-4% occurring in the oral cavity. Typically appearing as painless, soft, smooth nodules with a yellowish hue, it often affects region like the buccal mucosa, tongue, and floor of the mouth. Surgical removal is the preferred treatment due to its benign nature and low recurrence rate. Histological examination remains the gold standard in the definitive diagnosis of the lipoma. Here, We present a case of an pedunculated intraoral lipoma in a 62- year-old women located on the left mandibular buccal vestibule, managed through surgical excision. Documenting rare cases like this contributes to a better understanding of the prevalence and clinical features of these tumors.

Key Word: lipoma, intra-oral, benign soft tissue tumors, adipose tissue.

[1]. Fregnani ER, Pires FR, Falzoni R, Lopes MA, Vargas PA. Lipomas Of The Oral Cavity: Clinical Findings, Histological Classification And Proliferative Activity Of 46 Cases. Int J Oral Maxillofac Surg. 2003; 32(1):49-53.
[2]. Rao, Gayathri S., Laxmikanth Chatra, And Prashanth Shenai. “Intra-Oral Lipoma – A Rare Entity.” International Journal Of Anatomy, Radiology And Surgery, Vol. 2, No. 2, Aug. 2013, Pp. 1–3.
[3]. Gonçalves V, Kalinin Y, Bordalo S, Gaspar M, Sendyk W, Roman-Torres C. A Lipoma Of Large Proportion In The Oral Cavity: A Case Report. Open Dent J, 2024; 18: E18742106355208. Http://Dx.Doi.Org/10.2174/0118742106355208241114111510
[4]. Patil ADM, Mohite SN, Mane PS, Pedunculated Lipoma Of Palate - A Case Study. J Diagn Pathol Oncol 2019;4(2):151-152.Bouaamri, M., Adnane, S., Haitami, S. And Benyahya, I. (2025) Intraoral Lipoma: About A Case Report. Open Access Library Journal, 12, 1-9. Doi: 10.4236/Oalib.1113254.
[5]. Alharbi A S (September 18, 2020) Intraoral Lipoma Of The Cheek – A Case Report With A One-Year Follow-Up And Review Of Literature. Cureus 12(9): E10537. Doi:10.7759/Cureus.10537

Abstract: Intestinal trichobezoar is a rare cause of small bowel obstruction and poses a diagnostic challenge due to its nonspecific presentation. We report the case of a 35-year-old female who presented with persistent vomiting, abdominal pain, oliguria, and hemodynamic instability. Imaging with non-contrast computed tomography revealed a heterogeneously hyperdense intraluminal mass in the proximal jejunum causing proximal bowel dilatation, suggestive of a bezoar.......

Key Word: Intestinal trichobezoar; Small bowel obstruction; Rapunzel syndrome.

[1]. Bhatta BR, Manandhar K, Jha R, Duwal S, Shrestha S, Shrestha A. Trichobezoar-Induced Intestinal Obstruction-Complete Bowel Obstruction In A Young Female With Underlying Psychiatric Disorders: A Case Report. Int J Surg Case Rep. 2025;134:111679.
[2]. Irshad S, Irshad S, Irshad M, Fatima M, Ali Z. Giant Gastric Trichobezoar: A Case Report Of An Adolescent Girl. Clin Case Rep. 2025;13(10):E71116.
[3]. Mijović K, Vasin D, Hasanagić S, Et Al. Case Report On Rapunzel Syndrome: A Large Gastric Trichobezoar Extending To The Proximal Jejunum In A Young Adult Female. Front Med (Lausanne). 2025;12:1504822.
[4]. Vaughan ED, Sawyers JL, Scott HW. The Rapunzel Syndrome. An Unusual Complication Of Intestinal Bezoar. Surgery. 1968;63(2):339–343.
[5]. Madhushankar K, Manjunath K, Saiprasad B, Saishayam M. Trichobezoar: Presenting As Primary Intestinal Obstruction. The Journal Of Medical Sciences. 2015;1(1):4–6.

Abstract: Background: Cardiovascular disease remains the leading cause of death globally, and nutritional interventions represent a modifiable factor with great therapeutic potential, as vitamin B12 plays an essential role in cardiovascular health through multiple interconnected mechanisms. Studies show that vitamin B12 deficiency is common among cardiovascular patients Materials and Methods: This comprehensive article, based on a narrative review methodology and compiling evidence from the literature such as epidemiological studies, randomized controlled trials, and meta-analyses, aims to clarify the role of vitamin B12 (cobalamin) in cardiovascular health, particularly its role in homocysteine metabolism........

Key Word: Vitamin B12, heart disease, homocysteine, hyperhomocysteinemia, atherosclerosis.

[1]. Mohan And Et Al, "Homocysteine, Vitamin B12 And Folate Level: Possible Risk Factors In The Progression Of Chronic Heart And Kidney Disorders," Current Cardiology Reviews, 2023.
[2]. Aleksandra And K. Zygmunt, "Hyperhomocysteinemia In Patients With Cardiovascular Disease," Index Copernicus International , 2014.
[3]. Y. Miao And Et Al, "The Effect Of B-Vitamins On The Prevention And Treatment Of Cardiovascular Diseases: A Systematic Review And Meta-Analysis," Nutrition Reviews , Pp. 1386-1401, 2023.
[4]. Kibirige And R. Mwebaze, "Vitamin B12 Deficiency Among Patients With Diabetes Mellitus: Is Routine Screening And Supplementation Justified?," Journal Of Diabetes & Metabolic Disorders, 2013.
[5]. L. Sarmiento-Rubiano And Et Al, "Relationship Between Vitamin B12 Levels And Insulin Resistance In Postmenopausal Women From Colombia Caribbean," Medicina (Ribeirao Preto), 2023.

Abstract: Background: Median Arcuate Ligament Syndrome (MALS) or Dunbar syndrome is a rare occurrence of vascular disease characterized by extrinsic compression of the celiac artery by the median arcuate ligament. Chronic postprandial abdominal pain, nausea, vomiting and weight loss often follow these findings, and nonspecific symptoms can trigger a delay in the diagnosis. Case Presentation: We present the case of a 26-year-old female with a 7-8 month history of postprandial epigastric pain and persistent vomiting, a recent deterioration in symptoms and significant weight loss (body weight 36.8 kg). Past medical history was unremarkable except for prior renal stone surgery......

Keywords: Median Arcuate Ligament Syndrome, Celiac Artery Compression, Laparoscopic Decompression

[1]. Paudel S, Luitel P, Shah AK, Ghimire B. Laparoscopic Median Arcuate Ligament Release: Successful Management Of Dunbar Syndrome In A Young Male. Int J Surg Case Rep [Internet]. 2025 Dec 1 [Cited 2025 Dec 26];137:112109. Available From: Https://Www.Sciencedirect.Com/Science/Article/Pii/S2210261225012957
[2]. Landmann A, Calisto JL, Malek MM. Laparoscopic Retrogastric Median Arcuate Ligament Release. J Laparoendosc Adv Surg Tech Part B Videoscop [Internet]. 2017 Aug 3 [Cited 2025 Dec 26];27(4). Available From: Https://Www.Liebertpub.Com/Doi/10.1089/Vor.2016.0390
[3]. Zambrano-Lara M, Gonzalez-Urquijo M, Lozano-Balderas G, Rodarte-Shade M, Fabiani MA. Síndrome De Ligamento Arcuato Medio Como Causa Poco Frecuente De Dolor Abdominal Crónico. Rev Gastroenterol Mex. 2021 Apr;86(2):199–201.
[4]. Gupta SV, Bishnoi S, Ansari MAM, Nain S, Jain A, Kapur N. Laparoscopic Release Of Median Arcuate Ligament Syndrome. Videoscopy [Internet]. 2025 Oct 27 [Cited 2025 Dec 26];35(1):1–2.