Inflammatory myofibroblastic tumor (IMT) is a rare neoplasm, most commonly seen in children and adolescents. It can occur in nearly every part of the body. Imaging properties and the clinical presentation of IMT can mimic malignant process. A 41-year-old female presented with cough of 3 months duration. Chest X-ray showed a coin shadow in the right upper lobe. Positron emission tomography/computed tomography scan showed a 3.2 × 2.4 cm lesion with homogeneous appearance with a very high fluorodeoxyglucose uptake value, suggesting a neoplastic process. She underwent lobectomy and the final diagnosis was IMT.

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From April 1993 to March 1998 patients with chest injuries were retrospectively assessed for the incidence, presentation, and outcome of thoracic trauma. The majority (55.6%) were less than 40 years of age and 83 (92%) were male. The mode and extent of injury, specific intrathoracic organ injuries, associated injuries, flail chest, ventilatory requirements, management, morbidity, and mortality were analyzed. Blunt injuries were seen in 56 (62.2%) and penetrating injuries in 34 (37.7%). Multiple rib fractures with hemopneumothorax was the most frequent presentation with orthopedic and head injuries being most commonly associated. Patients with tachypnea, cyanosis, lung contusion, partial pressure of aterial oxygen less than 60 mm Hg, and those with more than 6 rib fractures most often required ventilation but the majority (54.4%) were treated with a chest drain only. Emergency or delayed thoracotomy was required in 24.4%. The mortality rate was 6.7%, mainly due to respiratory insufficiency. Subcutaneous emphysema requiring releasing incisions accounted for most of the morbidity. Mean hospital stay was 9.5 days. Chest injuries were of major concern in multisystem trauma patients and early planned management is recommended in a mostly vulnerable section of our population in an age of violence and vehicular accidents.

Background: Emergency Laparotomy is a complex and often time-critical surgical procedure associated with significant morbidity and mortality. Emergency abdominal surgery is performed in most hospitals, and acute laparotomy is considered a high-risk procedure with significant mortality rates ranging from 14% to 20%. This study is done to assess the mortality and morbidity rates in patients undergoing emergency laparotomy at a tertiary care hospital over a period of 1 year and to identify risk factors associated with it. Aims and Objectives: To assess the mortality and morbidity rates in patients undergoing emergency laparotomy at a tertiary care hospital. Materials and Methods: This is a prospective observational study conducted in the department of general surgery at KR hospital during the period of January 2020 to December 2020. All the patients who underwent emergency laparotomy were included in the study. Patient was followed during the pre-operative, intraoperative and post operative period and demographic data, comorbidities, habits were collected pre-operatively. Post-operatively, the complications were identified and classified based on the Clavien-Dindo classification. Cox proportional hazards model was used to identify risk factors for mortality and morbidity. Results: A total of 478 patients underwent emergency laparotomy, of whom 18% had surgical complications and 23% had medical complications. The overall 30-day mortality was 20.3%. The overall death rate within 24 h of surgery was assessed. Several risk factors for 30-day mortality were identified: age, ASA >3, performance score, etc. Conclusion: A complete analysis of complications and mortality in a consecutive group of patients undergoing laparotomy was done and found that almost one in five patients died after emergency laparotomy. Predictors of poor outcome and several risk factors for mortality and morbidity were identified.