A 21-year-old unmarried woman presented with rapid enlargement of the right breast of 3-months duration and ulceration in the lower part of 15-days duration. There was no history of recent nipple retraction or discharge from the nipple. Local examination revealed a massive, but well-circumscribed, firm, pedunculated lump involving the whole of the right breast, with an ulcer measuring 3 cm × 3 cm present in the lower outer quadrant. The lump was not adherent to the pectoralis major and axillary lymph nodes were not palpable. Fine-needle aspiration cytology of the lump was reported as "benign phyllodes tumor."Simple mastectomy of the right breast was performed. The tumor measured 45 cm × 35 cm × 28 cm and weighed 6500 g (Figs 1-3). The postoperative period was uneventful. Histopathology confirmed a benign phyllodes tumor. The resection margins were free. After 2 years of follow-up, the patient is doing well. This seems to be the largest and heaviest benign phyllodes tumor ever reported in the English literature reviewed by the authors.

BACKGROUNDInguinal hernia repair is the most frequently performed operation in any general surgical unit. The Bassini's, Shouldice and other tissue-based techniques are still being acceptable for primary inguinal hernia repair. Desarda's technique is originally a tissue based hernia repair using an undetached strip of external oblique aponeurosis to strengthen the posterior wall of the inguinal canal. The aim of the present study was to compare Lichtenstein hernia repair and Desarda herniorrhaphy.

A variety of metallic and non-metallic rings causing constriction to the external genitalia have been described in the literature across all ages. The adult population frequently reports erotic or autoerotic goals when intentionally placing constricting devices. In adults these constricting bands are placed deliberately by the person himself to influence blood circulation and thereby obtain prolonged erection and/or sexual pleasure. A compilation of 3 rare case presentations in the casualty of JJM Medical College Davangere were collected and studied. The present case series shows that sexual perversions can present as rare surgical emergencies and need aggressive early intervention to avoid vascular compromise and its squeal.

Lymphocytic colitis is a rare syndrome of watery diarrhoea, normal colonoscopy findings and mucosal inflammation. The patient does not present with bloody diarrhoea as there is no mucosal ulceration. A 30-year-old male presented with complaints of pain abdomen for 6 months. Ultrasound showed oedematous ileo-cecal junction with ileocolic lymphadenopathy which was managed with antibiotics. He presented again with symptoms of intestinal obstruction in the following month. On laparotomy, there was ileo-cecal thickening for which right hemicolectomy was done. The biopsy report came as lymphocytic colitis. This is a very rare presentation for a case of lymphocytic colitis.