Omental torsion is a rare cause of acute abdominal pain, and clinically mimics acute appendicitis. A 11-year-old boy presented with symptoms and signs suggestive of appendicitis. A computed tomography of abdomen revealed findings suggestive of omental torsion. Diagnostic laparoscopy confirmed the diagnosis of torsion of a segment of the greater omentum.

Myasthenia gravis (MG) is a debilitating disease which necessitates long-term medical therapy. If left untreated, it can have a high mortality rate. The commonest variety in children, the autoimmune variety, often requires recourse to immunomodulation including prolonged usage of high-dose steroids. Thymectomy has not been a popular option among treating clinicians. There is evidence to suggest that if thymectomy is performed early in the disease, it has a high success rate in reducing the doses of the oral steroid medication and also in inducing remission of the disease. We have performed video-assisted thoracoscopic surgery (VATS) thymectomy in four patients with the autoimmune variety of MG. In this study, we have had a fair and comparable success rate as with the other adult series. On the basis of this preliminary study, we recommend that the option of VATS thymectomy should be offered to select patients of MG.

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a p o l l o m e d i c i n e 1 2 s ( 2 0 1 5 ) S10-S29 S29 (73%) underwent extralevator APER. Plastic reconstruction in the form of V-Y advancement flap for perineal closure was required in six patients (46%). Mucinous component was present on histopathological examination in 11 patients (73%). Quality of total mesorectal excision was complete in 92% patients. CRM was free in 92% patients. Median overall survival and disease-free survival were not reached.Conclusion: Perianal adenocarcinomas associated with fistula are locally aggressive malignancies with low incidence of lymph node involvement and distant metastasis. NACTRT, wider resection in the form of extralevator APER, and liberal use of plastic reconstruction may result in favorable outcomes.