A 65-year-old lady presented with sudden onset of palpitations, headache, perspirations and flushing. Clinical examination revealed tenderness in right lumbar region. Ultrasound abdomen revealed multiple hyperechoic hepatic lesions and a mesenteric mass.Contrast-enhanced computerized tomography (CECT) abdomen revealed multiple hypervascular hepatic lesions. Two enhancing mesenteric masses with desmoplastic reaction were seen encasing the mesenteric branches of superior mesenteric artery. Subcentimeter mesenteric nodes were also seen. A small 1.5 cm×1.35 cm enhancing submucosal lesion was noted in the distal ileum (Fig.

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We present a case of a 38 year-old morbidly obese female with an unremarkable cardiac history undergoing elective diagnostic laparoscopy for removal of a left ovarian cyst. Despite modified sequence induction and successful intubation, arterial oxygen saturations continued to decline. Bilateral wheezing was heard on auscultation and shortly thereafter, pink frothy liquid filled the endotracheal tube and circuit. Upon stabilizing the patient, radiography and echocardiogram demonstrated diffuse pulmonary vascular congestion and an ejection fraction of 15%, respectively. Remarkably, despite initial elevation in cardiac enzymes and ECG changes, cardiac function completely normalized by hospital day three.