We report a patient with an extra-ordinarily huge thymoma weighing 1,930 g and measuring 21 x 20 x 15 cm that filled almost the entire hemithorax. The tumor was successfully removed and the patient made a good recovery. Despite of its large size, the tumor was benign both clinically and histologically, and the pathological diagnosis was epithelial thymoma of non-invasive type. The perioperative...

Violent coughing is associated with a multitude of complications including rib fractures and diaphragmatic rupture. In this report we present a case of a 70-year-old male with the rare combination of both complications resulting in herniation of bowel into the left hemithorax and subcutaneously between the separated ribs. Surgical repair was performed via a left thoracotomy, the hernia reduced ...

A case of right sided pulmonary hypoplasia with tuberculosis is described . A 7 months male was admitted in our department with complaints of recurrent chest infections since birth. Clinical examination revealed smaller right hemithorax. Serial chest Xrays showed non progressive lesions over several months . Bronchoscopy and CT scan thorax confirmed the diagnosis of right sided pulmonary hypopl...

Unilateral pulmonary artery agenesis with lung hypoplasia is very rare and only a few cases have been reported in the literature. Some patients with hypoplasia may suffer from recurrent hemoptysis dyspnea, and lung infections. Other patients are asymptomatic. Chest X-Ray reveal a reduction in the volume of hemithorax, an elevation in the diaphragm, reduced intercostals spaces and mediastinal sh...

We report a case of herniation of abdominal contents into the left hemithorax in a patient with a history of vague left-sided thoracoabdominal trauma 18 days previous to admission and who also had a recent 1-week history of upper respiratory symptoms, including cough, and then presented with dyspnoea and fever for 3 days. There was no preceding cardiorespiratory pathology of note. We also discu...

The patient, six months before, had complained of diffuse pain in the right hemithorax at rest, which radiated to the left elbow at exertion. At the chest radiography and tomography (Fig. 1), cardiac opacities in imaging examination led to the hypothesis of the presence of coronary stents, which was discarded, as they had not been previously implanted. On further investigation by echocardiograp...

A case of agenesis or aplasia of the right lung, in a cyanosed neonate, exceptionally associated with a 'vascular ring' abnormality produced by a right aortic arch, an aberrant left subclavian artery, and a patent ductus arteriosus, is reported. The presence of an abnormal lobe of the liver, projecting together with small gut and a subhepatic caecum into the right hemithorax, caused mediastinal...

Bilateral empyema associated to infectious pericarditis is an extremely rare, yet life-threatening condition. Pleuroscopy-medical thoracoscopy has proved its efficacy in series of patients with empyema. Yet, all reported cases treated by this technique, concerned patients with pleural infection located to a single hemithorax. We present the case of a 71-year-old man with bilateral empyema treat...

1. Describe the incidence of congenital diaphragmatic hernia (CDH). 2. Delineate what percent of all CDHs occur on the left hemithorax and what percent are associated with the presence of other malformations. 3. Describe the mortality rate for prenatally diagnosed CDH and what factors affect the presence of associated malformations and chromosomal defects and are the major determinants of morta...

To cite: Sotto Mayor J, Monteiro C, Shvets Y, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2016-216310 DESCRIPTION An 89-year-old man, with a history of thyroid papillary carcinoma with lymph node and skin metastasis, was admitted to the emergency department with deterioration of his general state and refusal to eat. The patient was without any other as...