We report an unusual cause of subacute intestinal obstruction in a young adolescent girl, which is a nontubercular abdominal cocoon. Barium meal follow-through revealed "cauliflower"-like appearance of small bowel. The patient underwent an exploratory laparotomy showing thick fibrous-like coverings which were encasing the small bowel loops to form an abdominal cocoon. Fibrocollagenous membrane was excised after adhesiolysis. Histopathological examination of membrane revealed fibrocollagenous membrane with hyaline deposition of nontubercular origin.

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Abstract:Primary hydatid cyst of pancreas is rare. We report a case of a 26 year old male patient, who presented with upper abdominal pain. The imaging studies demonstrated a large pancreatic hydatid cyst along with two calcified hydatid cyst of liver. Large size of pancreatic cyst raised the possibility of communication of pancreatic cyst with pancreatic duct, hence roux en Y cystojejunostomy was carried out. Cysto-pericystectomy was done for liver cyst. Patient is asymptomatic on follow up for four years. We discuss the therapeutic modalities of this rare disease.

Traumatic injuries of the diaphragm is an entity of difficult diagnosis, it is important because of the frequency and severity of associated injuries, the difficulties in reaching the diagnosis require an aggressive search in patients at risk. We report the case of a patient with blunt trauma with Left diaphragmatic rupture that required urgent surgical treatment. Blunt trauma can cause substantial diaphragmatic rupture. It must have a high index of suspicion for diaphragmatic injury in patients, victims of vehicle collisions and in patients with severe thoracoabdominal trauma.

Mucocele of appendix is a rare entity characterized by cystic dilation of the appendix due to intraluminal accumulation of mucoid substance resulting from chronic obstruction of appendix orifice due to any inflammatory or neoplastic cause. Pre-operative diagnosis is obligatory to differentiate it from cyst adenocarcinoma. We report a case of giant mucocele which presented as asymptomatic abdominal lump, with brief review of literature regarding its clinical, diagnostic and characteristics.