Superior vena cava syndrome due to mediastinal Gardner fibroma presenting as syncope.

Superior vena cava (SVC) syndrome refers to the clinical manifestation due to an obstruction in the SVC; resulting in decreased venous return from the head, neck and upper extremities. The obstruction can occur either due to tumour invasion of the vessel wall with associated thrombus or due to vessel wall compression by the tumour mass. The patient being reported is a young male who presented with recurrent episodes of syncope and was found to have mediastinal Gardner fibroma causing SVC syndrome. Gardner fibroma is a benign soft tissue lesion; and its occurrence in the mediastinum resulting in SVC syndrome has not been reported yet.

Fetus in fetu - a rare developmental anomaly.

Fetus in fetu is a rare condition which most often presents as a fetiform calcified mass in the abdomen of its host, fetus or newborn. We report a case of 8-month-old girl with history of abdominal distension. Ultrasonography and computed tomography scan revealed a mass in which the contents favor a fetus in fetu rather than a teratoma. She underwent surgery and the mass was resected in toto. Radiograph of the resected specimen showed the presence of rudimentary vertebral column which was later confirmed by pathologist.

Imaging spectrum of bronchial carcinoid--a case of central bronchial obstructing lesion.

Here one case of bronchial carcinoid is reported, which presented as intrabronchial obstructing lesion with sequelae. Carcinoid syndrome is quite uncommon with bronchial carcinoids and x-ray or CT usually gives non-specific appearances. Still, the relatively younger age group of patients and presence of obstructing lesions in major bronchi with features like extraluminal extension and mucoid impactions are helpful signs. However, a few instances of carcinoid mimics do occur during imaging studies, like other types of intrabronchial tumours and long standing foreign bodies.