Background: Vascular transformation of lymph node sinuses is a relatively rare entity and usually seen in the cervical lymph nodes. Case Report: A seventeen year old young male came with a progressively growing, painless swelling in the right groin. The mass was firm and had transmitted pulsations from the femoral vessels. As it was in close proximity to the femoral vessels, it was referred for excision. Histopathology and immunohistochemistry demonstrated true angiogenesis. Conclusion: The case is presented noting the combination that pathology is rare and its presentation in groin lymph nodes is rarer.
A 35-year-old Indian working in Dubai had come to India for his annual vacation. He presented with a shortness of breath and mild chest discomfort of 3 months duration. Routine investigations gave normal results, except for his chest x-ray that showed homogenous opacity in the right mid and lower zones. Chest CT scan revealed a huge mass with fat and soft tissue involving the anterior mediastinum predominantly on the right side extending into the pericardiac region. The mass was pushing the right hemidiaphragm inferiorly and was compressing the right lung superiorly with atelectasis. The patient underwent surgical excision of the mass and recovered uneventfully. Gross specimen showed an encapsulated mass weighing 2.585 kg. Histopathological examination revealed lobules of mature adipose tissue interspersed with islands of mature thymic tissue and prominent Hassal's corpuscles suggesting thymolipoma. There was no evidence of malignancy.
This article deals with the impaction of an angiography catheter in the right coronary ostium and its subsequent retention as a broken foreign body. The case was managed by operative extraction and concomitant CABG. The management of such a case is discussed.
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