Rhabdomyosarcomas, the commonest soft tissue sarcoma in paediatric age group, represent 5-10 % of all solid tumors in childhood. These tumors are rare in adult population. There are sporadic case reports of intra-abdominal rhabdomyosarcoma, but mostly in paediatric age group. Here we are reporting an unsual case of intra abdominal rhabdomyosarcoma in an elderly which presented with acute intestinal obstruction. CECT abdomen showed a solid mass in retroperitoneum compressing adjacent bowel loops. Upon emergency exploratory laparotomy a hard mass was found to be compressing the ascending colon and infiltrating into duodenum, pancreas and liver. No specific organ of origin could be identified. Biopsy was taken, as the mass was unresectable and ileostomy was done. Histopthological examination revealed embryonal rhabdomyosarcoma. Rarity of this disease and unusual presentation prompted us to report this case.

SummaryAn unusual presentation of leech infestation leading to vaginal bleeding is reported.KEY WORDS: leech infestation, vaginal bleeding. IntroductionWith the exception of the application of leeches to the pudenda, perineum and the inner surface of the thighs for the purpose of criminal abortion (Modi, 1972), no case of vaginal bleeding due to leeches has been reported. We describe such a case here.

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