Abstract:Background: Lumbar incisional hernia following iliac bone grafting poses an anatomical challenge to the attending surgeon. Alteration of the local anatomy necessitates meticulous preoperative evaluation and proper planning of the repair. Introduction: The incidence of such incisional hernias is between 5-7%. The chances of complications are high. Case Report: A case of lumbar incisional hernia following iliac bone graft harvesting is presented. Discussion: The planning and technical considerations of surgical repair are discussed. Conclusion: Pre-operative CT scan evaluation of the hernia followed by open mesh repair is advisable as it ensures safety and offers good results.

Background: Malignancy of the breast is one of the commonest lesions of the breast. Amongst the infective lesions tuberculosis has now become a common occurrence especially in the developing world. However, co-existence of the two in the same breast is extremely rare. Introduction: Since both of these lesions have a different natural history, co-existence of tuberculosis and malignancy poses a diagnostic dilemma to both the surgeon and the pathologist. Awareness of the co-existence of the two lesions in the same patient is pivotal for early diagnosis and planning the management. Case Report: In view of its rarity, a case of coexistence of the two diseases in the same beast is reported in order to create an awareness of their co-existence. Discussion: The diagnostic implications and management are discussed. Conclusion: Awareness of the co-existence of these divergent pathological conditions is essential for early diagnosis and planning of an accurate treatment protocol.

No abstract