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The Difficult Case section of the IUGA Spotlight, the official newsletter of IUGA, continues to be a very popular section. If you have encountered a difficult case that others can benefit from, please share it with us! Submit your case history and 2-4 questions you have about managing this case to This email address is being protected from spambots. You need JavaScript enabled to view it..  If your case is selected, the Publications Committee will solicit input from 2 international experts who will share how they would manage the case and publish it in a future edition of the IUGA Spotlight. Difficult Case submissions may be submitted at any time.