Delayed presentation of traumatic diaphragmatic rupture with herniation of the left kidney and bowel loops.

Rupture of the diaphragm mostly occurs following major trauma. We report a case of delayed presentation of traumatic diaphragmatic hernia on the left side in a 44-year-old male who presented two weeks after a minor blunt trauma. Left kidney and intestinals coils were found to herniate through the diaphragmatic tear. This case demonstrates the importance of considering the diagnosis in all cases of blunt trauma of the trunk. It also illustrates the rare possibility of herniation of kidney through the diaphragmatic tear.

A rare case of lung cancer with invasion in the heart giving rise to electrocardiographic features simulating myocardial infarction.

Bronchogenic carcinoma commonly metastasises to liver, bone, brain and adrenals. Involvement of mediastinal structures like superior vena cava, recurrent laryngeal nerve, phrenic nerve, pericardium, etc, is also common. But invasion of myocardium is very rare in bronchogenic carcinoma. A rare case of lung cancer with invasion to left atrium and ST segment elevation on electrocardiogram (ECG) mimicking myocardial infarction is presented here.

Diagnosis of three cases of endobronchial tuberculosis presenting as unresolved pneumonia, following fiberoptic bronchoscopic biopsy.

Nowadays, endobronchial tuberculosis is of rare occurrence. This article presents three such cases. All of them presented as unresolved pneumonia with collapse-consolidation in chest X-ray. All the three patients were sputum smear negative for acid fast bacilli. Diagnosis was possible only with fiberoptic bronchoscopy and bronchial biopsy.