A 58-year-old woman was referred for elective coronary bypass graft surgery (CABG). As an incidental finding, the coronary angiogram showed a radio-opaque linear foreign body in the superior vena caval-right atrial region; additionally to a significant flow limiting multivessel coronary artery disease (Panels A, B). The nature of the foreign body was initially unclear; the patient did not give a history of penetrating chest trauma or other major diseases. Further anamnestic review revealed a suicidal attempt 25 years before, which lead to a short intensive care stay. The patient underwent a conventional triple vessel CABG. After opening the right atrium, a fractured old-fashioned central venous cannula (CVC) was found being impacted with the tip into the tricuspid annulus; the curvature accurately shaped the route through superior vena cava to the tricuspid valve (Panels C, D). Following removal of the foreign body the patient had an uneventful postoperative course.

A hydatid cyst, or echinococcus, is a zoonosis frequently formed by the larvas of Echinococcus granulosus. The disease appears as a slowly growing cystic mass and is asymptomatic. The disease is common in the Eastern, Southeastern, and Central Anatolia regions of Turkey. The rate of incidence of the disease in Turkey is reported as 5.7 out of 100,000 individuals. The complications of hydatic cysts appear as different clinical entities depending on the cyst’s being intact or ruptured. The complications of intact cysts are usually compression symptoms, while the infection in the clinical progress of the ruptured cysts and secondary complications to the infecion are frequently seen. In this section, hydatid cyst complications in the lung, extrapulmonary thoracic findings, and respiratory system complications of hydatid cyst cases of the liver will be discussed.

On Sep 3, 2012, several rhinology specialized medical staff members in Shenzhen Pengcheng Hospital were stabbed by a patient with blood-covered hands; on Oct 25, 2013, a chief physician of the otolaryngology department of the first People’s Hospital of Wenling, was killed in his clinic while working on a patient. The recent events of violence against doctors in China have caused great shock throughout most of the country. We can’t help wanting to ask: Who is at the bottom of all these troubles? Speaking of this problem, Empty nose syndrome (ENS) is an unavoidable topic. In the past decade, ENS is becoming increasingly common iatrogenic disorder but poorly understood resulting from the destruction of normal nasal tissue [1]. ENS may have murdered many rhinologic medical staff indirectly, whereas this disease is still “fresh” in China because of lacking of enough attention and research about ENS in the general Chinese Medical Community.

Natural Orifice Specimen Extraction (NOSE) maintains the benefits of minimally invasive surgery obviating the need to extend the port site incisions for specimen extraction. We describe the technique of transvaginal extraction of a laparoscopic right hemicolectomy specimen in sexually active 63 year old female. This included intracorporeal ileo-colic anastomosis and transvaginal colpotomy and extraction of specimen. Periodical follow up for 6 months did not show any complications with no reported dyspareunia. Multiple smaller studies have confirmed the safety of transvaginal extraction of resected colon. Transvaginal extraction of colonic specimen is an attractive option in women with minimal side effects if any.