Mesenteric cysts are rare abdominal masses that can present with varied clinical manifestations, including partial intestinal obstruction. We present a case of a 17-year-old boy with no significant medical history who exhibited chronic abdominal pain, fluctuant abdominal swelling, constipation, loss of appetite, and bilious projectile vomiting. Previous history of blunt trauma to the hypogastric region at age 10 was noted. Laboratory investigations showed elevated white blood cell count, neutrop...

A 25-year-old male presented to the Emergency Department in atrial fibrillation with a rapid ventricular response in the setting of acute heroin intoxication. A single IV does of naloxone 0.4 mg immediately converted the patient to a sinus rhythm after three doses of metoprolol failed to slow the patient’s heart rate. Given the safety profile of naloxone, this therapy can be considered in carefully selected cases of acute heroin intoxication complicated by acute atrial fibrillation with rapid ...