Heterotopic pregnancy has been found in various forms but is still a rare event in the natural conception cycles, occurring in less than 1:30000 pregnancies with the incidence rising to 1:100 to 1:500 pregnancies duo to assisted reproductive technologies. Delay in diagnosing the condition can be fatal for both the mother and the fetus. Three patients aged 28, 31 and 26 years presented with amenorrhea of ten, eight and twelve weeks duration respectively with signs of peritonism and shock. Investigations revealed intra and extra uterine pregnancies in all the three cases with the rupture of the extra uterine pregnancies. All the cases were operated and first two cases were followed up postoperatively till the delivery of the term live babies. The third case is still under our follow up. A high index of suspicion by a general surgeon is needed in arriving at a prompt diagnosis of ruptured heterotopic pregnancy so that rapid resuscitation, heart sparing anesthesia and expeditious surgery is carried out for both maternal and intrauterine fetal wellbeing.

The emissary veins are residual connections between intra-cerebral veins and their extra-cranial drainage. Mastoid emissary vein is a rare but definite entity which if not diagnosed preoperatively could be a cause of severe hemorrhage at the time of surgery which may prove to be life threatening. These veins may vary in size from that of a mere thread to that of a wax match or 1/8th-3/8th of an inch. We report one such case of a giant mastoid emissary vein which was opened while operating on mastoid and caused profuse bleeding which could only be controlled by surgical pack.

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Situs inversus totalis is a rare anomaly with a genetic predisposition, characterized by transposition of organs to the opposite side of the body. The condition may present difficulties in the management of abdominal pathologies and if undetected can create a diagnostic puzzle. Herein we report a case of situs inversus totalis with acute cholecystitis and the patient underwent successful emergency open cholecystectomy.