A urachal diverticulum is one of the spectrum of presentation of urachal pathology, all of which are very rare in adulthood. This report describes the experience of a urachal diverticulum in adult. Urachal abnormalities result from incomplete regression of the fetal urachus. They are more common in children than in adults, due to urachal obliteration in early infancy.

Background: Intra-abdominal infections (IAIs) are different from other infections in a surgical patient. One important aspect is the microbiological analyses, especially in the era of broad spread of resistant microorganisms. The study was designed to describe the clinical and microbiological profiles of IAI.Methods: A prospective study was conducted for a period of 1 year (December 2016 to November 2017) in Rajarajeswari Medical College and Hospital, Bangalore. Patients admitted and operated for acute abdomen/ IAI were included in this study and were analyzed.Results: In 1 year period a total of 112 patients with IAI were assessed. A total of 5 types of micro-organisms were cultured. All the cultures were polymicrobial with aerobic organisms pre-dominantly gram negative bacilli (E.coli). The most common site was appendix. E. coli in this study showed 100.0% susceptibility to imipenem, 86% to meropenem and 77.6% to amoxi-clavulanate.Conclusions: The most common site of IAIs was appendix (50%). E. coli (52%) is the most common organism isolated.

Tuberculosis remains one of the most fatal diseases in the world, but treatable on early diagnosis. Disseminated tuberculosis can involve several organs and clinically present with a wide variety of signs and symptoms. Early diagnosis and timely initiation of proper treatment is of great importance in preventing the later complications of the disease. We report a case with disseminated tuberculosis who exhibited a wide spectrum of extra-pulmonary involvement. Simultaneous involvement of pulmonary, skeletal and gastrointestinal system leading to a surgical emergency is uncommon and managed successfully. This paper highlights the diverse clinical presentation of disseminated tuberculosis and the importance of early diagnosis and treatment.

Meconium peritonitis is a non-bacterial, chemical inflammation of the peritoneum caused by antenatal or postnatal perforation of intestine by inspissated meconium. Surgery is necessary when signs of intestinal obstruction are present. The incidence of meconium peritonitis is about 1:30,000. Perinatal morbidity and mortality is about 80%. In the case of meconium peritonitis, the incidence of prematurity is 20-30 %. Author present an unusal case of meconium ileus with multiple ileal perforation leading to peritonitis.

Jejunal diverticula are uncommon and usually asymptomatic. Very rarely, they can lead to acute complications such as bleeding, diverticulitis, perforation and obstruction. Incidence of faecolith in jejunal diverticula is also rarely reported. In this report we outline our experience of acute small bowel obstruction due to the dislodgement of the faecolith from diverticula into the jejunum, where patient was previously asymptomatic and successful management of the case.