A 31-year-old man presented to the outpatient clinic at United Mission Hospital with colicky abdominal pain and bulge over the incision site which was more prominent on coughing. There was no fever. The abdomen was soft with no tenderness over the incision site and an expansive though reducible swelling was present over the right iliac fossa. The patient had undergone open appendectomy recently for acute appendicitis twenty days back. Ultrasonography revealed a 2.21cm muscle defect- findings consistent with interstitial incisional hernia. The patient underwent exploration through the same incision site electively. The subcutaneous tissue was found to be healthy. Anatomical repair with mesh placement was done. The postoperative period was uneventful and he was discharged on third postoperative day with instructions regarding dressing, removal of sutures on tenth postoperative day and avoidance of heavy weight lifting or straining and to follow up after a month.

Ovarian hyperstimulation syndrome (OHSS) is a rare finding that occurs in early pregnancy. There is a rapidly increasing ovarian size secreting vasoactive substances that lead to fluid shift into third spaces. It can be associated with a spectrum of other clinical findings, including ascites, hemoconcentration, hypercoagulability, and electrolyte imbalances. OHSS most commonly occurs as a complication of treatment with in vitro fertilization medications, such as human chorionic gonadotropin (hCG) or gonadotropin-releasing hormone agonists. OHSS has infrequently been reported to be caused by high hCG levels in molar pregnancies. We present a case of OHSS complicating spontaneous molar pregnancy. A 25‑year gravida 3, para 2+0, living 2 lady presented with complaints of continuous vaginal bleeding for 2 weeks and lower abdominal pain at 17 weeks' gestation. A bulky uterus containing a large hyperechoic structure with multiple cystic spaces suggestive of complete molar gestation and enlarged ovaries containing multiple cysts were seen on ultrasound imaging. She was managed successfully with conservative and supportive treatment.

Heterotopic pregnancy is a rare condition when at least two pregnancies are present simultaneously at different implantation sites and only one is located in the uterine cavity. The majority of cases are diagnosed in the first trimester. Heterotopic gestation is very rare in natural conception. A high index of suspicion is required for timely diagnosis and appropriate intervention. We report a case of heterotopic pregnancy in a 26-year-old woman presented with hemoperitoneum from ruptured tubal pregnancy with live intrauterine gestation at 8 weeks of amenorrhea, diagnosed on ultrasound examination. She underwent exploratory laparotomy with right salpingectomy and post-operative period was uneventful.