Unanticipated Difficult Mask Ventilation: Cystic Swelling- The Culprit

Introduction: Difficulty in mask ventilation is quitechallenging to an anaesthesiologist because mask ventilation isthe primary technique of ventilation and the rescue techniqueif the tracheal intubation fails. Unanticipated difficulty in maskventilation is even more challenging to the anaesthesiologist.Case report: Here we report a case of unanticipated difficultmask ventilation due to cystic swelling on left side ofepiglottis.Conclusion: Prudent and cautious corrective measures takenat the right time, ensures patient safety

Myxoid liposarcoma presenting like a cystic neck swelling.

Soft tissue sarcomas are rare and unusual neoplasm’s, accounting for approximately 1% of adult human cancers and 15% of pediatric malignancies. Most liposarcomas occur in deep soft tissues of the extremities and retroperitoneum; only a very small percentage (as low as 2%) occurs in the head and neck. Here we present a case of a 48yr old male with a painless mass in the neck clinically presenting as a cystic swelling. The CT neck was suggestive of cystic lesion in the neck representing benign cystic lesion. The swelling was excised and sent for histopathology which was suggestive of myxoid liposarcoma. The patient was planned for wide excision of the edges and scar and adjuvant chemo and radio therapy.

Atypical Presentation of Mycobacterium Tuberculosis in an Infant.

Tuberculosis of the skeletal muscle is very rare which is often missed in the early stages. This leads to delay in treatment resulting in irreversible limb deformity and loss of function. The authors describe a case of healthy child with an intramuscular cystic swelling above the elbow joint. The pus showing acid fast bacilli morphologically resembling Mycobacterium tuberculosis was also isolated in culture. Following the diagnosis and confirmation, the child was treated successfully with anti tubercular drugs.