Primary repair of an esophageal rupture using pleural flap

Esophageal perforation remains an important thoracic emergency. Aggressive operative therapy remains the mainstay for treatment. A case of esophageal perforation, consequent upon impacted food bolus, is presented. An 80 years old female, with multiple comorbidities, presented with dysphagia and right sided chest pain, who had a distal esophageal tear, secondary to accidental meat ball ingestion. Rigid esophagoscopy showed complete occlusion of the distal esophagus with a meat ball. Right thoracotomy was performed, which showed perforated esophagus with large meat ball protruding from it. Endoscopic removal of the food particles was done, and the rupture was repaired using a pleural flap. The entire postoperative stay was uneventful and the patient was discharged on the ninth post-operative day

Intra cardiac burkitt's lymphoma mimicking acute pulmonary embolism

Primary cardiac lymphoma is a rare clinical entity with poor prognosis and delayed diagnosis is often due to variable and non-specific clinical presentation. The case of an elderly male is reported with multiple co-morbidities, who had undergone a spinal laminectomy two weeks prior to presentation, later presented to the emergency room [E.R.] with acute chest pain, dyspnea and hypoxemia. A diagnosis of intracardiac thrombus was made, based on the clinical picture and echocardiography findings but per-operatively, he was found to have an extensive, non-resectable cardiac tumor

Successful pulmonary venous channeling in a case of Scimitar syndrome

A young girl child with recurrent pneumonias, failure to thrive and dextroposed heart was diagnosed with and surgically treated for scimitar syndrome. Early diagnosis and treatment of this syndrome prevents serious morbidity

Primary mediastinal germ cell tumor successful curative resection following chemotherapy a case report

Primary mediastinal germ cell tumours are relatively rare and account for only a small portion of all the mediastinal tumours. We present a case of a primary mediastinal germ cell tumour in a 14 years old Afghani boy

Aspergilloma in a patient with no previous history of chronic lung disease

Patients with aspergilloma should undergo surgical treatment, because there is a risk of sudden life threatening hemoptysis and because there is no effective alternate medical therapy. We report a case of aspergilloma in a 47 year old man with no past history of tuberculosis presented with the complaint of hemoptysis for two weeks. It was diagnosed radiologically and treated with left upper lobectomy. Post operative course was complicated by cardiorhythmic disorder

Incidental inflammatory pseudotumour lung: a report of two cases

Two unusual cases of inflammatory pseudotumours of the lung are described. A 14 year old boy who presented with a history of weight loss and clubbing was incidentally found to have a solitary circumscribed mass in right lower lobe as was treated with lobectomy. The second patient, a 51 year old female, presented initially with left arm pain, was evaluated for ischemic heart disease and was then found to have a left small upper lobe mass. She presented again, a few months later, with an expaned lung mass that necessitated a lobectomy. Both cases indicate the need for early and complete removal of the inflammatory pseudotumours