hydatid cyst (hc) is a parasitic disease that may involve many organs, especially the lung and the liver. pulmonary artery location of the hydatid cyst is extremely rare, but it may cause life-threatening complications. we report a case of a hydatid cyst that completely filled the left main pulmonary artery and its distal part without cardiac involvement. thoracic computed tomography showed fil...

Cystic medial necrosis is a disorder of large arteries, particularly the thoracic aorta, characterized by an accumulation basophilic ground substance in media with cyst-like lesions. A male his late 20s was brought to our trauma bay after he met road traffic accident complaint abdominal pain. Clinical examination revealed tenderness left lumbar region. The contrast-enhanced computerized tomogra...

Arterial adventitial cystic disease is an uncommon type of non-atherosclerotic peripheral vessel disease. Most cases of arterial adventitial cystic disease occur in the popliteal arteries; however, fewer cases have been reported in the femoral arteries. A 59-year-old male patient visited the hospital with a complaint of a swelling on the lower extremity that had begun two months earlier. Suspec...

Zefelippo A, Fornoni G. BMJ Case Rep 2017. doi:10.1136/bcr-2017-221534 Description A 60-year-old woman with unremarkable medical history, underwent elective laparoscopic cholecystectomy for symptomatic cholelithiasis. A four-port technique was performed. Initial exploration of Calot’s triangle was carried out by upward traction of the fundus and lateral retraction of the Hartmann’s pouch; after...

INTRODUCTION Although cystic duct variation is quite common, duplication of cystic duct is an extreme rare variant. We report a case of double cystic duct with literature review. A 33-year old female presented with right upper quadrant pain of three day duration, associated with nausea and poor appetite. The patient reported previous three attacks of right upper quadrant pain within the last tw...

A 55-year-old male without previous medical history developed chest pain. Coronary catheterization showed left main coronary dissection. Coronary artery bypass grafting was performed using bilateral internal mammary arteries, which were very fragile. The specimens of the internal mammary arteries sent for pathology showed cystic medial necrosis.