Lost in Count: Rare Case Report of Intrapleural Syringe Presenting with Recurrent Hemoptysis.

Retained surgical foreign bodies (RSFBs) are unintentional occurrences. Over decades, these continue to scourge the medical world not only by virtue of its complications, but also due to legal implications. Clinical manifestations may vary, a high index of suspicion is essential for diagnosis. We present a case of unintentionally left behind intrapleural syringe in a lady, post cardiac bypass surgery who presented with recurrent hemoptysis. To the best of our knowledge, this is the only case of RSFB of intrapleural syringe documented in literature until date. By virtue of its clinical presentation also, this is a standalone case report as the syringe was quiescent for 10 years and presented with recurrent hemoptysis sequel to extrinsic bronchial compression by the nozzle of the syringe.

Dissecting intramural hematoma in esophageal carcinoma.

A 50-year-old man with esophageal carcinoma developed severe, refractory, retrosternal chest pain. The diagnosis was made four days later when contrast studies showed an intramural dissecting hematoma of the esophagus. The patient responded to conservative management.