Non-traumatic diaphragmatic rupture with liver herniation due to endometriosis: A rare evolution of the disease requiring multidisciplinary management.

A 35 year old woman with chronic pelvic endometriosis suffered from right scapular pain. MRI imaging showed a right diaphragmatic rupture with liver herniation. Surgical procedure was performed by thoracotomy.

Complete and Repeated Response of a Metastatic ALK-rearranged Inflammatory Myofibroblastic Tumor to Crizotinib in a Teenage Girl.

Inflammatory myofibroblastic tumors (IMT) are rare tumors in children and young adults, considered by the World Health Organization to be intermediate malignancies and rarely metastasizing, with the presence of an anaplastic lymphoma kinase rearrangement in about 50% of the cases. We report the case of a teenager who presented with a metastatic aggressive IMT that was life-threatening despite multiple treatments, and which responded repeatedly to anaplastic lymphoma kinase-targeted crizotinib therapy. Crizotinib induced drastic primary tumor regression, which was sufficient to allow surgical resection and to control distant disease.

Do atmospheric conditions influence the first episode of primary spontaneous pneumothorax?

Objectives: Several studies suggest that changes in airway pressure may influence the onset of primary spontaneous pneumothorax (PSP). The aim of this study was to investigate the influence of atmospheric changes on the onset of the first episode of PSP.

Methods: We retrospectively analysed cases of pneumothorax admitted to our department between 1 January 2009 and 31 October 2013.

Midterm results of type B intramural hematoma endovascular treatment.

Background: Recently, intramural hematoma (IMH) has been characterized as a rare variant of aortic dissection, falling within the acute aortic syndromes (AAS). Although aortic endovascular treatment seems to provide good results, no consensus has been established regarding the optimal management of IMH affecting the descending thoracic aorta (IMH B). The aim of this study was to assess long-term clinical and morphological results of IMH B treated with a stent graft.

Technique and results of femoral bifurcation endarterectomy by eversion.

Objective: This study evaluated, in a contemporary prospective series, the safety and efficacy of femoral endarterectomy using the eversion technique and compared our results with results obtained in the literature for the standard endarterectomy with patch closure.

Methods: Between 2010 and 2012, 121 patients (76% male; mean age, 68.7 years; diabetes, 28%; renal insufficiency, 20%) underwent 147 consecutive femoral bifurcation endarterectomies using the eversion technique, associating or not inflow or outflow concomitant revascularization.

Postpneumonectomy-like syndrome after lobectomy: An exceptional situation.

Postpneumonectomy syndrome is a rare complication occurring after pneumonectomy. It is defined as extrinsic compression of a bronchus associated with a significant shift of the mediastinum. A man aged 45 years with history of C7 tetraparesis, presented with a postpneumonectomy-like syndrome 2 months after a right lower lobectomy.

A misleading cause of pseudo-thymic tumor in ectopic Cushing's syndrome.

A 27-year-old man was referred with typical features of severe Cushing's syndrome. A bilateral adrenalectomy was performed. Three months later, a triangular nodular mediastinal enlargement, evocative of a right anterior thymic tumor, was discovered.

Migration of a Kirschner pin from the shoulder to the lung, requiring surgery.

A 62-year-old woman underwent a reduction of a proximal reduced humeral fracture, which was fixed by 3 Kirschner pins. One year later, the orthopedic surgeon failed to remove one of the wires. The patient was lost to follow-up, and 4 years later, she presented with hemoptysis, revealing migration of the pin to the lung.

Does bilobectomy offer satisfactory long-term survival outcome for non-small cell lung cancer?

Background: Results of bilobectomy for non-small cell lung cancer have rarely been studied.

Methods: Retrospective analysis was conducted on patients with non-small cell lung cancer having undergone bilobectomy from January 1999 to June 2012 at our institution. Analysis aimed at determining perioperative mortality and morbidity, and at studying prognostic factors for long-term survival using the 7th TNM classification.

Morbidity, mortality and survival after 110 consecutive bilobectomies over 12 years.

Objectives: To analyse statistical aspects of mortality, morbidity and survival after bilobectomy (BT), an operation rarely studied in the literature.

Methods: One hundred and ten cases were studied, comprising 58 upper-middle bilobectomies and 52 lower-middle bilobectomies performed between 1999 and 2010. Indications were of 9 benign diseases, 12 carcinoid tumours, 5 metastases and 84 non-small cell lung cancers (2 stage 0; 34 stage I; 22 stage II; 25 stage III and 1 stage IV).

Pulmonary botryomycosis on a lung cavity: a rare pulmonary infection mimicking cancer.

Lung botryomycosis is a rare disease. We report what is to our knowledge the first case occurring on a lung cavity. In a 42-year-old man suffering asthenia and cough, a chest radiograph revealed a right upper lobe opacity.