Preserving lung after traumatic transection of left lower lobe bronchus from bullet injury.

A 22-year-old soldier was shot in the left chest by a bullet from close range. He was found to have a left haemothorax and remained shocked despite aggressive resuscitation. Due to difficult terrain and night time movement restrictions, there were limitations to the transfer of patient.

Combat related vascular trauma.

Objective: To determine the frequency and pattern of different types of vascular injuries, their management and surgical complications.

Study Design: Case series.

Place And Duration Of Study: Combined Military Hospital, Peshawar, from August 2008 to August 2010.

Giant aneurysm of the extracranial internal carotid artery.

Aneurysm of the extracranial internal artery is a rare condition with incidence of 0.8-1% of all aneurysms. It can give rise to serious complications like; haemorrhage due to rupture, stroke and thrmboembolism.

Hydatid disease of bone.

A case of primary hydatid disease of the right femur is reported that presented with pathological fracture and was diagnosed at the time of exploration for biopsy. The patient was treated by removal of all cysts, irrigation with scolicidal solution, bone grafting and immobilisation of the fracture followed by four cycles of oral Albendazole. Eosinophilia and serological tests reverted to normal but the patient died due to acute myocardial infarction six months later.