Anomalies associated with breast development are common, presenting as supernumerary nipples (polythelia) and less often as supernumerary breast (polymastia) in 1-5% of population. These anomalies are more common in women and also most frequently located along the mammary line, extending from the axilla to pubic region. The axillary polymastia is the most common variant of ectopic breast tissue (EBT). EBT can undergo the same physiological and pathological processes as the normal breast. The incidence of fibroadenoma developing in ectopic breast is a rare entity, most common being the carcinoma. We report here a case of fibroadenoma of EBT in both axillae of a 33-year-old Asian woman. This case has been reported for its rarity and to reemphasize the importance of screening of EBT for any pathology during routine screening of breast.

found distended abdomen with sluggish bowel sounds and loaded rectum. On further evaluation with X-ray, abdomen supine showed dilated small-bowel loops [Figure 1]. Hence, initially paralytic ileus was suspected. Patient was treated conservatively and was observed for the next 24 h. Patient was found to deteriorate with progressive symptoms and increasing abdominal girth (from 76 to 84 cm). Thus, patient was evaluated with contrast-enhanced computer tomography (CECT) abdomen, which showed grossly dilated cecum with closedloop obstruction [Figures 2 and 3]. Patient was taken up for emergency laparotomy for acute intestinal bowel obstruction, and we found freely mobile and Cecal volvulus is an infrequently encountered clinical condition and an uncommon cause of intestinal obstruction. Patients with this condition may present with highly variable clinical presentations ranging from intermittent, self-limiting abdominal pain to acute abdominal pain associated with intestinal strangulation and sepsis. We present here a case of 54-year-old woman presented to our medical department with left hemiparesis and later on developed intestinal obstruction. She went for series of radiological investigations and was diagnosed as cecal volvulus. She underwent right hemicolectomy and ileocolic anastomosis. Her recovery was uneventful. The lack of familiarity with this condition is a factor contributing to delays in diagnostic and treatment. The objective of this review was to promote clinicians' awareness of this disease through patient-case illustration, discussion of disease pathogenesis, clinical features, and management strategies.

Eosinophilic gastroenteritis (EGE) is a rare disease of unknown etiology. It is characterized by eosinophilic infiltration of bowel wall to a variable extent and is associated with variable gastrointestinal (GI) symptoms. We elucidate here a case of eosinophilic gastroenteritis presenting as a small bowel obstruction in the post-operative period after groin surgery. A 66-year-old man was admitted in this hospital for bilateral direct inguinal hernia and bilateral hernioplasty was done. On the 7th post-operative day, he developed abdominal distension, abdominal pain, obstipation and vomiting. His abdomen was distended with diffuse tenderness and there was no guarding or rigidity. Abdominal radiograph revealed multiple air-fluid levels in small intestine. CT abdomen was taken which confirmed the distal small bowel obstruction and presence of ascites. An emergency laparotomy was performed and an area of induration in the ileum about 50 cm proximal to the ileo-cecal junction was noted. A segmental iliectomy was performed and primary end to end anastomosis was done. Histologically there was a dense transmural infiltration of eosinophils-so, eosinophilic enteritis was diagnosed. The patient recovered well. The present report has been made for the rarity of the lesion and its unusual presentation.