In this study we reported one case of combined procedure for coronary artery bypass grafting and excision of right pulmonary hydatid cyst. Concerns of possible hydatid systemic dissemination as a result of direct vascular breaches are raised. We suggest that avoidance of cardiopulmonary bypass (CPB) if that possible is beneficial for the treatment. If not possible then the excision and clearance of the hydatid cyst should be done in the first place before going on bypass.
Background/Introduction Surgical management of empyema remains a necessity in the modern era. In many cases the patients are already on anti-microbial therapy prior to referral for definitive surgical management. Surgeons will send samples during the operative case for analysis, but in the setting on ongoing microbiological therapy, these may not prove rewarding. Aims/Objectives We examine the utility of intra-operative microbiology sampling in the setting of thoracic empyema.
Omental infarction is an unusual cause of abdominal pain presenting in both adults and children; though it
is rare in both [1, 2]. The difficulty is in the initial diagnosis where it can present in a number of different
ways and may mask an underlying surgical condition [3, 4]. Most cases are managed without surgery,
however; continuing or worsening pain may push a surgical approach. We present 3 cases of omental
infarction, all with characteristic radiological findings. One had accompanying radiological features of acute
appendicitis, another continued abdominal pain and the third with symptoms responding well to analgesia.
The first and second patients required laparoscopic intervention, while the third was managed
conservatively.
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