Cardiac tuberculosis is rare and usually involves the pericardium. Myocardial tuberculoma is a very rare occurrence and only a few cases have been reported. We describe a rare case of cardiac tuberculoma involving the whole of the lateral right atrial wall, extending from the superior vena cava/right atrial junction up to a tricuspid valve. The initial diagnosis of right atrial myxoma was made based on the echocardiography report and surgical excision was planned. Intraoperatively, the excision of the mass was deferred due to the extensive nature of the disease and a high suspicion of malignancy. Cardiac tuberculoma was confirmed by histopathological examination. The patient made a remarkable recovery with the complete disappearance of the mass after anti-tuberculous treatment, as viewed by a postoperative echocardiography during the follow-up.
A 36-year old woman presented with a 5-year history of progressive dysphagia. The barium swallow of the oesophagus revealed an oblique extrinsic defect consistent with an aberrant right subclavian artery. A computed tomography angiogram confirmed the diagnosis. Surgical correction is indicated for dysphagia lusoria in association with an aberrant right subclavian artery. The patient underwent surgical repair through the right supraclavicular approach, which provided a good exposure. We describe the use of this approach, which avoids the possible complications of thoracotomy or sternotomy in the surgical management of dysphagia lusoria.
Atypical case of retained intraocular foreign body presenting as secondary glaucoma after 12 years. To report a case of retained intraocular foreign body presenting as glaucoma after 12 yrs. A 24 yrs old male patient came to OPD, with pain & redness in right eye since 2 days. He was operated for cataract 12 years back. On examination, OD VA-hand movements.
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