1 of 3 DESCRIPTION A 70-year-old man with mediastinal lymphadenopathy was referred to our centre for endobronchial ultrasound with transbronchial needle aspiration. During the bronchoscopic examination, two separate anatomical bronchial variances were observed: a supernumerary ‘true’ tracheal bronchus branching off from the distal right lateral wall of the trachea ( fi gure 1A ) and a displaced...

A 62-year-old man with a chronic cough presented with atelectasis of the left upper lobe on chest X-ray. Chest computed tomography showed an atelectasis in the left upper lobe with bronchial wall thickening, stenosis, dilatation, and mucoid impaction. We performed bronchoscopy and found a well-circumscribed mass on the left upper lobe bronchus. The mass was removed by flexible bronchoscopy usin...

We report a first case of 180 ̊ left upper lobe lung torsion followed by a 90 ̊ lobar torsion in the same lobe after a left lower lobectomy.

   A 36-year-old woman with right upper quadrant abdominal pain since three months previously and no other significant medical history was referred for evaluation of an abdominal mass. Upon clinical examination, a large palpable mass in the mid -upper abdominal area was noted. Abdominal ultrasound and spiral CT-scan showed a large hepatic mass in the left liver lobe. ...

An asymptomatic 14-year-old boy presented with minor chest trauma. Chest X-ray showed opacity in the upper zone of the left lung. Further investigations with magnetic resonance imaging showed it to be a posterior mediastinal mass with a fistula to the lung, along with cystic changes in the left upper lobe of lung. Left upper lobectomy with excision of the mass was performed. Histological examin...

A 77-year-old man, 7 years after left pneumonectomy, was scheduled for a right upper pulmonary lobectomy. The early identification of a newly developing carcinoma on the right upper pulmonary lobe warranted surgical resection. Right exploratory thoracotomy, pleural lysis, partial pleurectomy, and right upper lobe wedge resection were completed, and the patient was discharged without sequelae. T...

A 76-year-old male underwent a left upper lobectomy with wedge resection of the superior segment of the left lower lobe using video-assisted thoracoscopic surgery (VATS) for non-small-cell lung cancer of the left upper lobe. He presented with shortness of breath, fever, and leukocytosis. Chest radiography showed atelectasis at the remaining left lower lobe. Bronchoscopy revealed narrowing of th...

various complications of hydatid cyst have been recognized to date. we have encountered one such complication-rupture of hydatid cyst to the duodenum­ leading to upper gastrointestinal bleeding in a 40 year old male, who referred with severe right upper quadrant (ruq) pain and gastrointestinal bleeding of a few hours' duration. laparotomy revealed a cyst (7 x 15 cm) in the left lobe of the...

Systemic arterial supply from the descending thoracic aorta to the basal segment of the left lower lobe without a pulmonary arterial supply is a rare congenital anomaly within the spectrum of sequestration lung disease. The most common pattern of anomalous systemic artery to the lung arises from the descending thoracic aorta and feeds the basal segments of the left lower lobe. We report an extr...

BACKGROUND Left upper division segmentectomy is one of the major pulmonary procedures; however, it is sometimes difficult to completely dissect interlobar lymph nodes. We attempted to clarify the prognostic importance of hilar and mediastinal nodes, especially of interlobar lymph nodes, in patients with primary non-small cell lung cancer (NSCLC) located in the left upper division. METHODS We ...