No abstract

Pneumoperitoneum is a common presentation in surgical practice which is taken to be pathognomonic of hollow viscus perforation. Other lesions may also present as pneumoperitoneum. We present a case where a lady presented with upper abdominal pain of 5 days duration and vomiting. CT abdomen showed pneumoperitoneum with a ruptured left lobe liver abscess. Patient was taken up for laparotomy and lavage. Patient recovered well after surgery. This is a rare presentation and is one of the causes that should be considered. Early surgical intervention is mandated.

Parotid tumors are one of the common conditions in surgical practice and gold standard procedure for benign tumors of parotid being superficial parotidectomy but with risk of complications like facial nerve injury,whereas, in extra-capsular dissection of parotid, surgeon performs a careful dissection of the tumor and spares the handling of facial nerve thereby minimizing chances of facial nerve injury. We present here a case of benign parotid tumor operated by extra-capsular dissection.