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Background: Foreign body inhalation is rare in older children, often leading to underdiagnosis and delayed treatment. Most cases involve a single foreign body, but instances of multiple foreign bodies are exceedingly uncommon. This report presents a case of an elder child who inhaled two pen caps, emphasizing the need for clinical vigilance and thorough medical history collection.

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During an ECG-training course, a case of extreme respiratory sinus arrhythmia (RSA) was found in a 19-year-old slender, female student who was not active in sports. The heart rate (HR) fluctuated from above 100 to below 60 beats per minute (bpm), often from one beat to the next. The pattern was repetitive and appeared to be linked to respiration, representing an extreme form of RSA.

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Paraneoplastic neurological syndromes (PNS) are mostly immune-mediated, tumor-associated disorders. Earlier the 2004 PNS criteria were used which are now partially outdated due to advances in PNS research and also identification of new phenotypes and antibodies that have transformed the diagnostic approach to PNS; hence, a new criterion was proposed in 2016. They can have multifarious presentations, ranging from behavioral abnormalities to altered sensorium and coma.

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Background: Mesothelioma is an uncommon malignant tumor with variable clinical presentations, radiological features, and morphological patterns. Mesothelioma with predominantly intrapulmonary growth presents with an insidious onset, similar radiological and even morphological features to lung cancer, and poses a diagnostic pitfall.

Case Presentation: Herein, we reported a 53-year-old female with biphasic mesothelioma misdiagnosed as poorly differentiated adenocarcinoma with focal sarcomatoid carcinoma.

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Meigs syndrome after treatment for catamenial pneumothorax.

Gen Thorac Cardiovasc Surg Cases

November 2023

Department of Surgery, Imamitsu Homecare Clinic, 1-9-10 Imamitsu, Wakamatsu-Ku, Kitakyushu, 808-0071, Japan.

Article Synopsis
  • Catamenial pneumothorax (CP) is a rare condition affecting women, characterized by a collapsed lung associated with menstrual cycles, while Meigs syndrome (MS) involves benign ovarian tumors causing pleural effusion and ascites, and its exact causes are not well understood.
  • A 40-year-old Japanese woman was diagnosed with CP after experiencing dyspnea and undergoing surgery that revealed diaphragmatic foramens.
  • Ten years later, the same patient presented with chest pain and imaging showed signs of MS, leading to surgery that resolved her symptoms, highlighting the rare occurrence of both conditions in one patient and suggesting links between them.
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