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.

HighlightsThis case presentation, emphasizes the typical manifestations of hepatic but associated asymptomatic pericardial HCs.Hepatic hydatid cyst presenting as a painless abdominal lump preceded painful presentation for a few months.Asymptomatic pericardial hydatid cyst could have presented with pericardial tamponade due to rupture, if ignored further.The origin of the pericardial hydatid cyst could have been due to trans diaphragmatic passage of scolices from the hepatic location, as the usual pulmonary involvement was absent.

An iatrogenic injury to superior vena cava (SVC) during a right pneumonectomy for a tubercular destroyed lung can be a life-threatening situation. It may be difficult to control because of severe adhesions in the area and also because of anatomic distortions. We describe how SVC transection during right-sided pneumonectomy was successfully tackled by clamping the ends, creating a temporary bypass from the SVC to the right atrium (RA) with 2 cannulas, completing the pneumonectomy, and then reestablishing the circulation by anastomosing the SVC to the right pulmonary artery (RPA; Glenn anastomosis).

We present this rare case of a 24 year old male who was knocked down by a slowly backing truck when the rear wheels climbed on to the right side of the abdomen and on hearing the shouts of people rolled forwards causing a partial run over injury.

Carcinoma of the esophagus can coexist with significant Coronary Artery Disease (CAD) in the elderly. A staged approach to the two problems, carrying out Coronary Artery Bypass Grafting (CABG) first followed by cancer resection at two anesthetic settings is a logical way of tackling the conditions. But it lengthens morbidity and increases economic burden. Simultaneous tackling of these two problems, i.e. operation at the same anesthetic settings can offer a better outcome albeit at the cost of a longer operative time. We present such a patient who underwent simultaneous Off Pump Coronary Artery Bypass Grafting (OPCAB) and esophago-gastric resection successfully through a posterolateral thoracotomy and upper midline laparotomy. (Ind J Thorac Cardiovasc Surg 2009; 25: 142-144)

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Infected internal jugular vein (IJV) thrombus is rare and is sometimes seen in association with jugular vein catheterization and rarely with suppurative upper aero-digestive tract infection. We describe a very rare association of left Infected Internal jugular vein thrombus with an infected arterio-venous fistula in the left elbow region created for dialysis access in a renal failure patient. The infected arterio-venous fistula was addressed surgically by excision and a reverse saphenous vein graft was placed between proximal and distal brachial artery just above it's bifurcation. The patient was put on i.v Clindamycin and Metronidazole for six weeks. Patient recovered uneventfully.

Introduction: Primary chest wall tumours are very rare. Chondrosarcoma represents 40% of all chest wall tumours. Wide local excision with tumour free margins has been the gold standard therapy. We evaluated this therapy in relation to various prognostic factors for anticipating the recurrence of the tumour.Material and methods: 22 cases of Primary chest wall chondrosarcoma was operated upon from 2009 to 2019 with wide local excision with adequate margins. Male constituted 77.27% and females 22.73% with the tumour size ranging from 5 to 30 cm in size(median 7cm).Results: 19 patients were subjected to lateral chest wall resection. 3 cases underwent partial sternectomies. Resection was extended to lungs in 7 cases, diaphragm in 2 cases, vertebral body in 2 cases and clavicle in 2 cases. Reconstruction was done with polypropylene or titanium mesh and a muscle flap coverage. There was no perioperative mortality. Postoperative complications occurred in 13.6%(n=3). There was recurrence in 4 cases within 5 years. 5year disease free survival rate was 81.81%. Conclusions:Wide local excision with tumours free margins still remains the standard form of therapy. The reconstructive procedures have evolved largely to cover the huge defects following surgery. Post operative adjuvant therapy is guided by various prognostic factors.