Concurrent Abdominal and Mediastinal Hydatid Cystic Disease: A Rare Case.

Hydatid disease in humans is caused by accidental ingestion of Echinococcus in its larval form. It mostly affects the liver and lungs, but rarely the mediastinum and other areas as well. The diagnosis is mostly confirmed intraoperatively in cases of mediastinal disease. The mainstay of treatment in such cases is surgery. This is a case report of a rare finding of hydatid disease in mediastinum along with the abdomen and its surgical management.

Giant Cell Tumor of Tendon Sheath: A Common Benign Entity With a Sore Note.

Giant cell tumor of the tendon sheath (GCTTS) is a slow-growing benign lesion that is reported to be the second most common soft tissue tumor of the hand. Etiopathogenesis remains unexplained, and pre-operative diagnosis is lacking in the majority of cases. A high recurrence rate remains a challenge for the surgeons, with incomplete excision being the most consensually accepted reason. A standard operative protocol of using a magnifying loupe/operating microscope for surgery helps in meticulous dissection and thus reduces the incidence of recurrence in GCTTS. We present the case of a 30-year-old female with a slowly growing nodular lesion on her right index finger, reported as GCTTS post-operatively; however, there was no recurrence at 18 months follow-up because of the use of a magnifying loupe during surgery.