BACKGROUNDA 35 year old lady presented with unresolved severe abdominal pain and vomiting. She was diagnosed to have superior mesenteric vein thrombosis with gangrenous small bowel and multiple splenic infarcts secondary to Protein C and Protein S deficiency. She underwent emergency explorative laparotomy and extensive small bowel resection and anastomosis and splenectomy. This is to stress the importance of keeping mesenteric ischemia as an important differential diagnosis in cases of acute abdomen.

Impalement injury is one of the most gruesome forms of injury that can occur and death of the individual at the site of happenstance is almost certain due to trauma to major visceral and vascular structures and if at all he does manage to survive to be brought to an emergency room, he incurs the storm of uncontrolled haemorrhage, severe sepsis, metabolic and haemodynamic disturbances which pose a considerable threat for intra-operative and post-operative wellbeing. A timely, systematic, prudent multimodality can be of great assistance for patient survival as is presented in this case of impalement abdominal injury in the right iliac fossa region. KEYWORDSDouble Impalement, Transabdominal Trauma, Absent Visceral and Vascular Injury. HOW TO CITE THIS ARTICLE:Devadhason DB, Narendran TC, Kashyap AR, et al. Double transabdominal impalement injury without major vascular and visceral trauma: a sui generis.

BACKGROUNDIsolated testicular tuberculosis is a bizarre entity and it can present with atypical clinical features and its radiological signs remain elusive. Owing to its unusual occurrence and presentation, it can be confused with testicular tumour as has been presented in this case of a 54-year-old male patient who presented with absolutely no clinical symptoms other than a painless progressive left scrotal swelling.

BACKGROUND Xanthogranulomatous cholecystitis is a form of chronic cholecystitis which is rarely encountered in surgical practice and it presents as puzzle to the clinician and the radiologist. During surgery, it shows properties like severe adhesion and infiltration masquerading cancer, thus adequate knowledge about this entity can be useful in prevention long-term morbidity which is associated with it. We present a case of xanthogranulomatous cholecystitis in a 45-year-old male patient, who underwent a difficult but complete cholecystectomy and made an uneventful postoperative recovery. KEYWORDS