Case 1 A 24-year-old man presented with a 6-month history of pain and swelling of the right testis. Examination revealed a hard, irregular, enlarged testis and signs of a pleural effusion. Chest X-ray confirmed the effusion together with widespread secondary spread. A right orchidectomy was performed and the testis found to be replaced by a malignant trophoblastic teratoma. Post-operatively he ...

A 75-year-old Korean man was referred to our hospital with cramping abdominal pain. His chest X-ray showed an abnormal air shadow above the diaphragm, and computed tomography showed an abdominal viscera in the pericardium. We performed surgery and confirmed peritoneopericardial diaphragmatic hernia with small bowel strangulation. Postoperative course was uneventful. Peritoneopericardial diaphra...

An 83-year-old man with benign prostatic hyperplasia and several comorbid conditions presented with irremovable urethral Foley catheter. Plain abdominal X-ray revealed a bladder full of stones. The patient had bilateral hydronephrosis and elevated serum Creatinine level. Open vesicolithotomy was done and more than 720 stones in various shapes and sizes was removed. After removal of stone, Creat...

A 59-YEAR-OLD MAN with severe aortic stenosis presented for valve replacement surgery. After uncomplicated induction of anesthesia, an introducer was placed into the left internal jugular vein, through which a pulmonary artery catheter (PAC) was easily directed into the pulmonary artery on the first attempt. The intraoperative course was uneventful. On postoperative day 1 in the intensive care ...

published in the Calcutta Medical Journal, February 1929. The following case of pygonagous twins was brought to my notice in January 1929. Ganga Bai and Gaura Bai were born in Madras and had attained the age of 20 years. Owing to the conservatism of the parents and the guardians of the twins no medical man had as yet had the opportunity of examining them or taking an X-ray picture of the case. ...

A typical gouty tophus with birefringent, dichroic, needle shaped crystals was found in a resected calcified aortic valve on routine histological examination. The patient, an elderly man, had a long history of gout. X-ray diffraction confirmed the presence of sodium acid urate monohydrate and identified hydroxyapatite and whitlockite in the accompanying dystrophic calcification of the aortic va...

A 79-year old man was admitted for heart failure. Calcification of the pericardium was discovered on X-ray (Fig. 1). Cardiac computed tomography revealed a unique atrioventricular calcification ring along the atrioventricular groove (Fig. 2). Angiography also demonstrated a special calcification ring (Supplementary Video 1). Constrictive pericarditis was diagnosed. Pericardiectomy was successfu...

A 56-year-old man presented with lower urinary tract obstructive symptoms, hemoptysis and progressive dyspnoea. Digital rectal examination showed an enlarged nodular prostate and a tru-cut biopsy confirmed carcinoma prostate. Chest x-ray showed multiple bilateral cannon ball opacities suggestive of metastases. He underwent bilateral orchidectomy and follow up assessment showed significant clear...

CASE REPORT A 50-year-old man presented with dysuria. Physical examination was unremarkable. Laboratory tests were within normal limits, except presence of microscopic hematuria. He had no flank pain, urinary tract infection, or history of urinary stones. On the kidney, ureter, bladder x-ray, there were two opacities in the pelvic region (Figure 1). Intravenous pyelography revealed two heads of...

A 65 year old man developed atrial arrhythmias secondary to a congestive cardiomyopathy which were resistant to quinidine and disopyramide. Amiodarone controlled the paroxysmal atrial tachycardia but 4 months after starting the drug he developed increasing dyspnoea and radiological changes highly suggestive of metastatic lung disease. Lung biopsy showed change of drug-induced pneumonitis and 4 ...