Evaluation of microplastic pollution and risk assessment in a tropical monsoonal estuary, with special emphasis on contamination in jellyfish.

Estuaries, which serve as vital links between land and coastal ecosystems, play a significant part in facilitating the transfer of plastic waste from the land to the ocean. In this research, we examined the prevalence, characteristics, and ecological risks of microplastics (MPs) in the extensively urbanized Cochin Estuarine System (CES), India. Additionally, it represents one of the initial evidence-based examinations of MPs ingestion by jellyfish in Indian waters, focusing on Acromitus flagellatus, Blackfordia virginica, and Pleurobrachia pileus species.

Asymptomatic giant hiatal hernia with double heart shadow.

Giant hiatal hernias are rare, accounting for 0.3% of all hiatal hernias. We report a case of giant hiatal hernia in an elderly male diagnosed incidentally on evaluation of polytrauma.

Four-decade-old benign tracheomediastinal fistula.

A 70-year-old male with a nagging cough of 40-year duration was evaluated and found to have a tracheomediastinal fistula. He gave history of rigid bronchoscopy 40 years back. He underwent successful resection of the fistula and was fully relieved of his symptom.

Combined approach for a left pneumonectomy and carinal reconstruction.

Tumor involving the carina is a real challenge to thoracic surgeons due to the complexity of airway reconstruction and management. Carinal resection is a safe procedure in highly selected patients with acceptable morbidity and mortality and good long-term survival. A 32-year-old lady with adenoid cystic carcinoma arising from the left main bronchus underwent carinal pneumonectomy using a combined thoracotomy and midline sternotomy approach without the use of cardiopulmonary bypass.