Pilomatrixoma is a benign adnexal skin tumor involving the hair follicle matrix. It is found in children, predominantly involving the face. We report here an interesting and rare case of a 52-year-old male presenting with a large, firm, and painless mass over the scrotum considered to be a sebaceous cyst. The mass was completely excised and a biopsy report revealed it to be a pilomatrixoma of the scrotum. The patient recovered well postoperatively with no recurrence over two years.

Background: Inguinal Hernia is a common entity in general surgical practices across the world. Its management though appears to be straightforward, could still be a nightmare for a surgeon if not dealt with proper attention and care. Lichtenstein’s mesh hernioplasty is still one of the most popular surgeries performed for inguinal hernia repair across the world. At our institute, we commonly perform this surgery with either Onlay mesh hernioplasty technique or combined Onlay-Plug mesh technique. The double mesh placement had always kept us engaged in regards to its post-operative outcomes and its advantage over single onlay mesh. We were also keen to take the subject due to the scarce availability of the recent literature.Methods: This prospective observational study was conducted in the Department of Surgery, Dr. Hedgewar Hospital, Aurangabad, Maharashtra, India on 200 patients who were randomly and equally divided into two groups. Patients in Group A underwent Onlay mesh hernioplasty surgery, while patients in Group B underwent combined Onlay-Plug mesh hernioplasty surgery. Post-operative outcomes were assessed in both groups for a period of six months.Results: There was a significant difference between the two groups in terms of post-operative pain, scrotal edema, cord tenderness, and wound infection as patients in Group 2 who underwent combined Onlay-Plug mesh repair were found to have more incidences of the above-mentioned post-operative outcomes.Conclusions: Single Onlay mesh placement is sufficient. There is no significant benefit of keeping an additional Plug/Inlay mesh in patients undergoing tension-free mesh inguinal hernioplasty as per our findings.

Littre's hernia (LH) is a very rare presentation in patients presenting with hernias. It is the presence of Meckel's diverticulum (MD) in a hernia sac. However, it usually presents with obstruction or strangulation. We are reporting here a case of Littre's hernia in a 42-year-old male patient who presented with an irreducible swelling in the left inguinal region. The diagnosis of an incarcerated indirect inguinal hernia was made preoperatively. Intraoperative finding was however an obstructed Littre's hernia with Meckel's diverticulum in a very uniquely appearing hernia sac. The patient was successfully managed by resection of the MD along with ileal segment, primary anastomosis, and mesh hernioplasty on the inguinal floor.

Calcinosis cutis is an uncommon disorder identified by the deposition of calcium in the skin and subcutaneous tissue. Idiopathic variety of calcinosis cutis is the one with no underlying damage at the tissue level or an absence of systemic derangement in the calcium and phosphorus metabolism. Here, we report a case of a 65-year-old female diagnosed with idiopathic calcinosis cutis of the hip after her calcium and phosphorus levels were found to be normal and no connective tissue disorder could be identified.