Intestinal tuberculosis is still a common abdominal problems in developing countries like us. Sixty cases of intestinal tuberculosis admitted in the surgical wards of Mymensingh Medical College Hospital over 2 years with different presentations have been studied here. All of them under went through surgical procedures for their management. The age range of the patients was 13 to 55 years and most commonly involved age group was 20-40 years. Male to female ratio was 1:1.4. 60% of the patients were in low socio-economic group and 20% of the patients had got the positive history of contact. 60% of the patients presented with chronic intestinal obstruction. The most commonly involved site was lleocaecal region in 51.6% of the patients. Right hemicolectomy with ileotransverse anastomosis was performed commonly 63.3% of the patients but limited resection and stricturoplasty are also safe and effective procedures.

A 20 year old housewife presented with multiple needles in her abdominal wall as revealed by radiological examination. She had unrelated symptoms but the needles were more or less silent for months except one group caused foreign body granuloma formation. Exploration and removal of four of these needles were done under general anaesthesia. Deliberately inserted needles in the abdominal wall are very unusual, which is not yet reported to our knowledge.

Laparoscopic surgical techniques are increasingly being applied to treat cholelithiasis and other indications of gallbladder diseases. These procedures however are not without potential morbidity. Herein we describe two patients treated with laparoscopic cholecystectomy; those cases were complicated with subcutaneous emphysema and hypercarbia per-operatively. After discontinuation of pneumoperitoneum, saturation of partial pressure of oxygen (SpO 2 ) gradually increased with improvement of the neck subcutaneous emphysema, at the same time the lung ventilation also improved. Our findings show that we have to stop pneumoperitoneum or decrease partial pressure of end carbon dioxide level immediately, when we find a sudden increase of the peak airway pressure or decrease SpO 2 with subcutaneous emphysema during laparoscopic cholecystectomy.

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Sacrococcygeal teratoma is a common congenital neoplasm. This tumor contains derivatives ofmore than one of the three embryonic germ cell layers e.g. ectoderm, mesoderm & endodermand usually arises as a mass in the sacrococcygeal region. Here we are reporting a case of hugesacrococcygeal teratoma presenting as a lower abdominal and perineal mass in a thirteen-yearoldschoolgirl, which is very rare.doi: 10.3329/taj.v16i2.3888TAJ December 2003; Vol.16(2): 76-78