Schwannoma also referred to as neurilemmoma or neurinomas arise from the Schwann cells of the autonomic nerves, peripheral nerves and cranial nerves except optic and olfactory nerves. Head and neck schwannomas account for 25 to 45% of schwannomas and the most common being vagal schwannomas and cervical sympathetic chain schwannomas. Schwannomas arising from the trigeminal nerve are rare and this case report consists of a schwannoma presenting as a left preauricular swelling involving the region of parotid extending from foramen ovale through the infratemporal fossa up to the parapharyngeal space. A combined preauricular trans mandibular approach enabled a complete excision of the tumor. Histopathological confirmation of a benign schwannoma was obtained and the patient is feeling well with minimal postoperative facial palsy with no trismus, occlusion abnormalities and no signs of recurrence on follow up.

Involvement of bladder in inguinal hernia is rare and occurs in less than 5% of the cases and strangulated inguinal hernia has an overall prevalence of 1.3% affecting mainly senile patients. Bladder gangrene associated with strangulated inguinal hernia is an extremely rare entity and only one case has been reported so far. We report a rare case of strangulated left inguinal hernia with bladder and bowel as content and with gangrene of both. A 42-year male presented with left inguinal irreducible swelling with features of obstruction for 2 days with no urological symptoms. Preoperative CT abdomen revealed obstructed left direct inguinal hernia with jejunum and omentum as content. Emergency laparotomy done and it revealed an indirect sac containing bladder with supratrigonal bladder gangrene and gangrenous ileum. Partial cystectomy and resection and anastomosis of ileum with herniorrhaphy was done.