Accepted 30 October 1996 A 22-year-old man was admitted to hospital with a 14-kg weight-loss over the last 14 months, and an abnormal chest X-ray. Physical examination revealed signs of consolidation over the left hemithorax, fever, tachypnoea and tachycardia. Computed tomography (CT) was performed (figure 1) and one liter of bloody fluid was drained by thoracentesis. Abdominal CT scan was normal.

Primary diaphragmatic lipomas are rare. A 66-year-old female case is reported, with the unusual presentation of progressive dyspnoea leading to respiratory failure, mainly because of a large fatty mass occupying the base of the left hemithorax. The completely resected mass (16 x 14.5 x 5.5 cm) was a primary diaphragmatic lipoma. The literature is discussed. We recommend surgical exploration sin...

We report a patient with type B aortic dissection which ruptured into the right hemithorax to call attention to this infrequent presentation and to accentuate the value of computed tomography angiography (CTA) with multiplanar reformatting in localizing the dissection and demonstrating the rupture site. CTA in combination with 2- and 3-dimensional reformatting is crucial for surgical planning b...

Pulmonary thromboembolism (PTE) is a fatal condition that may rarely occur due to complications of coronary catheter insertion. In this case report, a 41-year-old male was presented 48 hours after radiofrequency catheter ablation(RFCA) for the management of Wolf-Parkinson-White syndromewith acute onset of dyspnea, hemoptysis, and chest pain. The physical examination revealed coarse crackles in ...

The sternal muscle, also known as sternalis, rectussternal, parasternal or japonicus is a curious case of anatomical variation the anterior chest wall. During routine dissection, muscle mass related to sternum was found in wall right hemithorax melanodermic female cadaver. literature, its incidence mentioned vary from 3.1 23.5%, and little about function with divergences regarding origin, inser...

A 71-year-old man with no history of coronary artery disease presented with palpitations to the emergency department. The 12-lead ECG showed a regular tachycardia with wide QRS complexes (220 bpm) suggestive of ventricular tachycardia. Instead invasive electrophysiological investigation revealed typical atrial flutter as underlying arrhythmia. The altered QRS morphology resulted from displaceme...

INTRODUCTION Intrathoracic migration of ventriculoperitoneal shunt can be transdiaphragmatic or supradiaphragmatic. This complication causes important respiratory symptoms. CASE PRESENTATION A 7 year-old Caucasian female, hospitalized with the prediagnosis of pneumonia, was determined to have ventriculoperitoneal shunt migration at left hemithorax. A left thoracotomy was performed and the shu...