Failed Gastric Pull up after Esophagectomy Managed by Colonic Interposition.

A case of esophageal carcinoma underwent transthoracic esophagectomy with gastric pull-up. Postoperatively the patient had gastric conduit necrosis which manifested as biliary leak through the chest tube and was managed with colonic interposition. We present our unique experience of managing failed gastric pull-up with review of concerned literature.

Tubercular biliary stricture - a malignant masquerade.

Hilar cholangiocarcinoma is the most common cause of a stricture in the hilar region, and hilar stricture in the absence of any previous surgical intervention should be considered to indicate malignant disease until proven otherwise. We present a rare case of isolated hilar tubercular stricture, all the features of which were suggestive of malignancy.

Pneumothorax complicating pulmonary embolism after combined spinal epidural anesthesia in a chronic smoker with open femur fracture.

Pulmonary embolism during or after regional anaesthesia is although very rare, it has been reported in cases undergoing lower limb orthopedic procedures. We presenting a 48 years old male, a known smoker since 25 years, with history of road traffic accident and open fracture right femur for external fixation. Combined spinal epidural anaesthesia was given.