Implantation of the Micra transcatheter pacing system: A single center North India experience.

Background: The leadless pacemaking transcatheter system, Micra, is a miniaturized, single-chamber pacemaker system. We report herein our experience with implantation of the Micra TPS system.

Objective: The current study was conducted to evaluate the safety and efficacy of the leadless Micra Transcatheter Pacemaker System (Medtronic).

An unusual case of metastatic male breast cancer to the nasopharynx-review of literature.

Metastatic breast carcinoma has been described to the various areas in the head and neck region. However, these metastases are rarely found in nasopharynx. Herein we are presenting the first case of male breast carcinoma with the longest survival secondary to distant metastases in right maxillary sinus and extending to the nasopharynx with extensive skeletal & lung metastases.

Richter type of incarcerated obturator hernia; misery still continues.

Obturator hernia is a rare type of hernia which accounts for only 0.07-1.4% of all intra-abdominal hernias and 0.

Spontaneous external fistula: the rarest presentation of hydatid cyst.

A 65-year-old man with hydatid disease of the liver presented with a spontaneous cutaneous rupture draining about 10 L of fluid with daughter cysts. Contrast-enhanced CT showed multiple hypodense areas in the residual right lobe of the liver and abdominal wall with compensatory hypertrophy of the left lobe, confirming the diagnosis of a hydatid cyst presenting as external fistulisation which represents a very advanced stage of hydatid disease. Once the patient's nutritional status improved he was taken for surgery.

Breast gangrene: a rare source of severe sepsis.

We present a very rare case of breast gangrene in a 26-year-old woman, lactating primipara, referred to the emergency department of our hospital with a 1-day history of difficulty in breathing, high-grade fever associated with chills and rigor and failure to pass urine. After initial resuscitation, stabilisation and thorough examination her right breast was found to be gangrenous, with satellite lesions at the periphery. Later, under local anaesthesia and appropriate antibiotic coverage, the patient was taken for emergency debridement.