Obturator hernia is a rare but significant cause of intestinal obstruction especially in emaciated elderly woman and a diagnostic challenge for the Doctors. CT scan is valuable to establish preoperative diagnosis. Surgery either open or laproscopic, is the only treatment. The need for the awareness is stressed and CT scan can be helpful.

Yolk sac tumour (YST), the most common germ cell tumour (GCT) in infants and children, accounts for 80% of GCTs in this age group. 1 It is observed in only 2.4% of adult patients in their pure form since up to 42% of mixed GCTs have some component of the yolk sac. 2 We present a 46-year-old cryptorchid man who presented with complaints of abdominal lump, pain and altered bowel habits since 1 month. CT scan of the abdomen revealed a mass arising from the pelvic cavity with feeders predominantly from the left gonadal vessel. Mass was excised via exploratory laparotomy and sent for histological examination. Microscopic examination was suggestive of pure YST. Immunohistochemistry stained positive for cytokeratin, placental-like alkaline phosphatase, Glypican 3 and alpha fetoprotein. The patient succumbed prior to commencing chemotherapy. Pure YSTs of post-pubertal origins are extremely rare and are more aggressive than their prepubertal counterparts.

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Background: Chronic leg ulcers are a significant cause of morbidity in developing countries causing a significant burden on the health care system. The orthodox methods of dressing the wound requires long duration of hospital stay. The recent technique of vacuum assisted closure (VAC) has brought about new horizons in wound management with better outcomes.Methods: A comparative randomized case control study was conducted with a total of 60 patients from November 2015 to December 2017 in patients admitted with lower limb ulcers to KIMSDU, Karad, Maharashtra.Results: The mean graft uptake of Group A(VAC) and Group B (conventional dressings) was 82.23±15.60 and 70.07±18.42 respectively. Healing was achieved in minimum of 11 days and maximum of 48 days in Group A and minimum of 22 days and maximum of 59 days in Group B. The mean duration of wound healing in Group A and Group B was 27.70±9.57 and 41.93±11.58 days respectively. The duration of hospital stay was minimum of 13 days and maximum of 50 days in Group A and minimum of 24 days and maximum of 60 days in Group B.Conclusions: Rate of granulation tissue formation, overall graft survival and patient compliance was better in vacuum assisted closure dressing group as compared to conventional dressing group. It was also seen that the overall hospital stay and post-operative complications were less in the vacuum assisted closure dressing group.

Esophageal carcinoma is considered a common malignancy across the globe. These patients usually present with an advanced stage of the disease at the time of diagnosis. Herein, we report a 55-year male patient who presented with leptomeningeal carcinomatosis, detected on cerebrospinal fluid (CSF) cytology in a case of adenocarcinoma lower third esophagus. On radiological imaging, he also had extensive metastatic deposits in the liver, pleura, and regional and paravertebral lymph nodes.