Inflammatory myofibroblastic tumor of lung in an adult female-a rare case.

Inflammatory myofibroblastic tumor occurs primarily in the viscera and soft tissue of children and young adults. This tumor is potentially malignant because of its tendency for local recurrence and its ability to metastasize. It is composed of a variable mixture of collagen, inflammatory cells, and usually bland spindle cells showing myofibroblastic differentiation. We report a 38-year-old female diagnosed with inflammatory myofibroblastic tumor preoperatively and has undergone right upper and middle lobectomy through fifth intercostal space for the same. Post-operative histopathology corroborated with preoperative diagnosis.

Double valve replacement in a case of dextrocardia and situs inversus totalis.

The incidence of situs inversus totalis is 1/10,000 to 1/50,000 live births. A 43-year-old female patient was incidentally diagnosed to have situs inversus totalis with severe mitral and aortic stenosis. The patient was thoroughly assessed, and the plan of surgery was modified accordingly. Under cardiopulmonary bypass, the mitral valve and aortic valve were replaced with 27-size and 19-size St. Jude medical mechanical valve, respectively, while the operating surgeon stood on left side. The postoperative period was uneventful. Thorough assessment and preoperative planning are essential for success in such cases.

Intrapulmonary teratoma: Report of a case and review of literature.

Intrapulmonary teratomas are rare tumors that are presumed to develop in association with mediastinal teratomas. This report describes the management of a rare case of a benign cystic intrapulmonary teratoma in the left upper lobe in a 26-year-old lady, which was successfully treated by lobectomy, with no recurrence after 4 years of follow-up.

A rare combination of hepatic and pericardial hydatid cyst and review of literature.

Hydatid disease in human beings, as in all intermediate hosts, manifest as hydatid cyst (HC). It is an important cyclozoonotic disease, endemic in various sheep and cattle raising areas of the world, including India. The tapeworm commonly involved is Echinococcus granulosus. HC can occur almost anywhere in the body, most common organs being liver and lungs, and are usually solitary. In 25% of cases combination of liver HC with HC in other extra pulmonary locations are found. Cardiac HCs comprise of 0.5-2% of all HC cases. Within the heart, HCs are usually situated in the left or right ventricle and rarely found in the peri-cardium. Pericardial HC does not produce symptoms and is often painless and silent, until the cysts grow to a large size over the years, when the usual complications develop, such as cyst rupture, cardiac compression, atrial fibrillation, and even sudden death. We describe the case of a 39 year old house wife, of rural origin, with proximity to livestock, who had an asymptomatic pericardial HC along with a symptomatic hepatic HC. She clinically presented with an abdominal lump for one year with recent onset of abdominal pain for 1 month, when radiological imaging confirmed the diagnosis of an unruptured hepatic HC and a pericardial HC. The patient recovered after pericardiectomy along with excision of the HC over the left ventricle and enucleation of hepatic HC, by thoracoabdominal approach. She is doing well after 5 years of followup without recurrence.

Double gall bladder-a rare entity.

Cholecystectomy is the most commonly performed operation in surgery. Variations inanatomical disposition are not infrequent. However variations in number of cystic ductand gall bladder is quiet rare. This poses a diagnostic and management problem withcomplications during surgery and missed gall bladder being reported in world literature. We here by report a case of double gall bladder with double cystic duct that was managed by laparoscopic surgery.

A comparative study of two techniques of urethroplasty in repair of distal penile hypospadias.

Hypospadias is a common congenital anomaly of the penis in which the urethra opens proximal to its normal position at the tip of the glans and the overall incidence of hypospadias is between 0.3% and 0.6%. Distal penile hypospadias is the commonest amongst all hypospadias cases. One stage urethroplasty was performed among 64 cases using Mathieu-Mullen's procedure or Snodgrass Belman procedure. Of these 64 cases, in 29 cases the Mathieu-Mullen's procedure was followed and in the rest 35 cases of distal penile hypospadias the Snodgrass Belman procedure was employed. These two procedures were retrospectively compared in terms of operating time, operative blood loss, cosmetic result, postoperative fistula rate, duration of operation.

Persistently erected penis in a child for 6 months: A management dilemma.

Priapism is the presence of a persistent, usually painful, erection of the penis unrelated to sexual stimulation or desire. It is a true emergency requiring urgent intervention. Priapism is frequently idiopathic in etiology, but it is associated with a number of important medical conditions and pharmacologic agents. Cases have been reported in world literature on children having priapism, the etiology of these cases are mostly hematological. Our case is a child having persistently erected penis for more than 6 months. Despite a thorough search, no report of similar case could be found in world literature.