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Paediatric haemoptysis is a difficult entity to deal with. The diagnosis as well as management is challenging. Although the most common causes including lung infections, foreign body ingestion and bleeding diathesis are easily identified and treated, there are some stealth entities that are not only difficult to diagnose but management is also challenging. We present such a case of Dieulafoy's lesion of the lung in a 17 year old male presenting with recurrent bouts of massive haemoptysis who eventually required surgical lobectomy.

Purpose: Retrospective review of the pattern and management techniques of arterial injuries related to central venous access with long-term outcomes. Materials and Methods: Between January 2007 and November 2017, a total of 20 patients (13 females) were included with the mean age of 63 (28–89 years) and mean body mass index of 25.75 (13.3–36.5). Venous access procedures included central venous catheter (CVC) placement, dialysis line insertion, or endovascular venous procedures. The study excluded patients who had arterial injuries related to arterial access, such as postarterial line placement, postangiography, or percutaneous coronary interventions. Results: Iatrogenic arterial injuries occurred after attempted venous access procedures involving the common femoral vein (n = 18) and subclavian vein (n = 2). Injuries were related to CVC placement (n = 5), temporary dialysis catheter (n = 14), and inferior vena cava filter insertion (n = 1). Nine patients had transarterial venous catheter insertion complicated by active bleeding from pseudoaneurysm and arteriovenous fistula. Other injuries included isolated fistula (n = 3), isolated pseudoaneurysm (n = 4), isolated branch injury (n = 2), and intra-arterial insertion (n = 2). Endovascular management included stent–graft placement (n = 14), embolization of bleeding vessel (n = 2), and thrombin injection for pseudoaneurysm (n = 2). Conservative management with manual compression achieved hemostasis in two patients. Technical success was achieved in 100%. One patient required repeat angiography and embolization of bleeding branch vessel following stent–graft placement to control bleeding fistula and pseudoaneurysm. Clinical success was achieved in all patients. Procedure-related complications included puncture site hematoma (n = 1) and partially occlusive thrombus/spasm of deep femoral artery after stent–graft placement. Six patients (33%) died within 20 days after the procedure (3–20 days) due to other comorbidities. Three additional patients (16%) died during the same hospital admission at the time of the procedure (38–114 days). There were no reported complaints related to possible stent–graft stenosis or occlusion at mean follow-up time of 5 years (50 days–8.64 years) in all seven patients who survived after stent–graft placement procedure. Conclusion: Despite technically successful endovascular management of arterial injuries related to venous access in critically ill patients, the mortality rate remains high due to other comorbidities. Allowing for the small sample size, stent–graft placement for arterial injuries in this cohort of patients appears to be an effective option with high long-term patency rate.

This article, titled "Pregnancy after Hybrid Embolization for Uterine Arteriovenous Malformation: An Uncommon but Successful Outcome," discusses a case study of a 30-year-old woman who experienced amenorrhea after a D&C procedure and was later diagnosed with a uterine arteriovenous malformation (AVM). The woman underwent five sessions of hybrid embolization, which successfully devascularized the AVM. Following the treatment, the woman became pregnant and delivered a healthy baby. The article concludes that hybrid embolization can be an effective treatment option for uterine AVMs, allowing patients to have successful pregnancies. [Extracted from the article]

Numerous Impulsive mine collapses induced by shallow partial mining in the Cambrian Abbottabad formation have caused fatalities, significant property loss and brought harmful results to the environment. Mining subsidence is therefore needed to be monitored on all accounts during mining operations in this area. Based on a long history of soapstone mining in Sherwan, a generic approach is presented in this paper for investigating subsidence related phenomena in the area. This paper demonstrates a time prevision for the future subsidence using an empirical modelling approach EMA. 20 underground drift and shaft mines located in the Sherwan North-West Abbottabad, Pakistan have been studied using EMA. Empirical modelling formula, validated by Distinct Element code UDEC has been used to predict the time of subsidence of these mines. This approach is a factor of width, height and depth of excavation of a mine and it can be applied to area where mines are truly restricted to one locality e.g. Sherwan. The calculated statistical data unconcealed the current state and predicts time for future subsidence of Khanda Khau, Bandi Nikra and Chellether mines within Sherwan. Mines other than these three localities are mostly safe and stable. The major causes of mine subsidence in the area includes both natural and man-made factors which are briefly described in this paper. [ABSTRACT FROM AUTHOR]

Stent migration into pancreatic pseudocysts during endosonographic (EUS) cystogastrostomy is a relatively rare complication. The migrated stent may induce, if it remains within the body, infection and perforation. Therefore, retrieval and/or re-stenting is necessary. Endoscopic retrieval is commonly attempted first. However, it is technically challenging and largely dependent on the skill of the endoscopists; if retrieval is unsuccessful, surgery is usually carried out. We report a case of stent migration into a pancreatic pseudocyst that was retrieved with a percutaneous approach under imaging guidance using a simple technique with available devices. A technique that enhances the role of interventional radiology in the management of this rare complication.