Bronchogenic cyst at unusual location.

Bronchogenic cyst results from abnormal bronchial budding. Thin-stalked mobile bronchogenic cysts are rare and sometimes radiologically mimic mass lesion, making preoperative diagnosis difficult. We present a 12-year-old boy with a preoperative diagnosis of intraparenchymal cystic lung lesion misled by radiology. We performed a mini-thoracotomy revealing a thin stalked mobile elongated cyst that arose from the right inferior pulmonary ligament, confirmed as a bronchogenic cyst in histopathology.

Unusual cause of mediastinal tumor: A case of calcified pericardial cyst.

Pericardial cysts are rare benign intrathoracic lesions, and calcified pericardial cysts are even more uncommon. Most pericardial cysts are asymptomatic, but patients may present with chest pain, dyspnea and any complications of pericardial effusion. We present a case of a left-sided calcified pericardial cyst, highlighting its rarity and symptoms in relation to its location.

Successful removal of the largest reported intrathoracic lipoma with bilateral extension: a case report.

BACKGROUND: Unlike subcutaneous lipomas, thoracic cavity lipomas are extremely rare and can develop to be quite large without causing any symptoms. However, managing massive lipoma that involves both chest cavities is usually challenging, especially when considering the approach for excision. CASE: We report our experience of surgical management of a case of a 46-year-old male with huge intrathoracic lipoma that extends bilaterally and is known to be the largest of such kind. The tumor was resected successfully using median sternotomy. Histological analysis confirmed features of lipoma. CONCLUSION: To remove a bilateral intrathoracic lipoma, various surgical approaches have been documented. In our experience, a median sternotomy allows better exposure, which aids in complete surgical extirpation resulting in the prevention of recurrence.

A rare variant of right sided pulmonary agenesis presenting in adulthood: 1st reported case from Bangladesh.

Pulmonary agenesis is a rare disorder, and the right-sided one is much rarer. Most of the cases are diagnosed during early life. Because of rarity, it can be misdiagnosed and even more challenging to diagnose when presented during adult life. However, we report a rare late manifestation of right-sided unilateral lung agenesis in a 22-year-old female patient who was treated for pneumonia several times, the first reported case from Bangladesh. We also highlighted the diagnostic approach of the case in low-resource settings.

A Case Report on Prepubertal Vaginal Bleeding due to Leech Bite: History Is Very Important.

Though prepubertal vaginal bleeding is rare, it can create a dilemma for both physicians and parents. Prepubertal vaginal bleeding due to leech bite is even rarer and very difficult to diagnose without proper history. We report a case of a six-year-old girl presenting with vaginal bleeding and ultimately diagnosed as a case of vaginal bleeding due to leech bite. We described how focused history helped us in diagnosis and management of such case in rural areas with limited healthcare resources. A detailed history with a high index of suspicion and a thorough examination is essential to diagnose leech bite in the vagina.

Unusual cause of large intrathoracic mass in a young male of Bangladesh: A case report of giant intrathoracic lipoma & literature review.

INTRODUCTION: Lipoma in the thoracic cavity is very rare, unlike any subcutaneous lipoma, and can often grow very large without showing any symptoms. CASE: We report a 42-year-old man having giant intrathoracic lipoma which was found incidentally during routine checkup and the first documented case of the such type in Bangladesh. This benign tumor occupied almost the entire left hemithorax, and it was resected successfully by thoracotomy. The postoperative period was uneventful except for prolonged chest drain. Histological analysis confirmed intrathoracic lipoma. DISCUSSION: Usually, patients with intrathoracic lipoma are asymptomatic. But since lipomas can grow to a large size, they may cause symptoms due to the compression effect. Lipoma should be considered a differential diagnosis of asymptomatic large intrathoracic mass, and imaging is the best method for initial identification. CONCLUSION: As intrathoracic lipoma typically grows very slowly over years without any symptoms and signs, late diagnosis is common. Complete surgical extirpation is needed to prevent further recurrence.

A case report on gastric volvulus of a 17 years old boy from Bangladesh.

INTRODUCTION: Gastric volvulus is a rare and true surgical emergency which is life threatening if not recognized and treated quickly. There have been approximately 300 reported cases globally till now. This condition most often occurs during 5th decade of life but there are over 100 reported pediatric cases also. This following rare incidence was such a case of a young patient in Bangladesh. It was the first case of gastric volvulus managed by the surgery department of the concerned hospital. PRESENTATION OF CASE: A 17year old boy with frequent post meal vomiting presented with abdominal fullness and mild upper abdominal pain for 2 months. He was absolutely constipated for 2 weeks. On examination, there was distension of abdomen with mild tenderness. He had no significant respiratory distress. Plain X-ray revealed elevation of left hemi-diaphragm. The contrast meal study showed organoaxial volvulus of stomach. Elevation of left hemidiaphragm and an ectopic subdiaphragmatic kidney was found in CT scan of chest. DISCUSSION: After adequate preparation, the patient was subjected to laparotomy and anterior gastropexy with plication of left hemi diaphragm was done. Gastric volvulus can manifest as an acute abdominal emergency or as a chronic intermittent problem. It requires a high index of suspicion and proper investigation. CONCLUSION: It should be suspected in congenital abnormalities of diaphragm and associate with many other congenital abnormalities like ectopic kidney. Early surgical repair remains the treatment of choice.