Daliakopoulos et al. Journal of Medical Case Reports 2010, 4:75 http://www.jmedicalcasereports.com/content/4/1/75 Page 4 of 8 Figure 3 Operative view of the adenocarcinoma. Arrows indicating costal cartilages of the first ribs. Figure 4 Immediate closure of the defect with the Gore-Tex mesh.