G. Sharma

Accidental Cannulation of Left Superior Intercostal Vein: A Rare Instance of Central Venous Catheter Malpositioning

Background: Central venous catheter (CVC) placement plays an important role in the management of critically ill patients. Complication rates have been reduced with the use of image guidance for their placement. Sometimes, particularly in emergency situation or due to lack of image guidance accidental malpositioning of these catheters can occur further adding to morbidity of the critically ill patients. Case Report: Herein we report a case of CVC placement into left superior intercostal vein during a left sided internal jugular vein (IJV) CVC placement. Conclusion: High index of suspicion along with thorough knowledge of anatomy is required to early detect malposition of central venous catheter.

Malakoplakia of Gall Bladder: A Histological Surprise

Malakoplakia of Gall bladder is a rare pathological entity with only a handful of cases reported in the literature. Clinically it can mimic carcinoma gall bladder or chronic cholecystitis. It can give rise diagnostic dilemma and influence intraoperative and postoperative decision making. It is almost never possible to make a pre-surgical diagnosis of gall bladder malakoplakia. Hence it remains as a histopathological surprise. Here, we describe two cases of Malakoplakia of gallbladder, both of which were presented as chronic cholecystitis and following pathological analysis of gall bladder specimen was proven to be malakoplakia.