Contraception is a national emergency, essential in a developing country like India. Intrauterine contraceptive devices (IUCDs) are amongst the most frequently used methods of contraception. The patients with misplaced IUCDs may present with pregnancies or 'lost strings' or they may remain asymptomatic and/ or may have recurrent pregnancy losses and may become pregnant as in our case.

Fibroepithelial stromal polyps are benign proliferations which are usually polypoid or pedunculated, and less than 5cm in size. They are generally single lesions but can be multiple during pregnancy. They can be polypoid or pedunculated and are usually solitary. Symptoms usually include bleeding, discharge and general discomfort with sensation of a mass. They typically have a central fibrovascular core and contain stellate and multinucleated stromal cells which are best seen beneath the surface epithelium. True myxoid stroma is absent. Although vulvovaginal fibroepithelial stromal polyps are well documented, a giant variant such as the one authors report here is rather rare. To the knowledge, present case is the largest fibroepithelial stromal polyp compared to others reported in the literature.

Abstract:Splenosis is heterotopic autotransplantation of splenic tissue following trauma or splenectomy. A 54 years gentleman presented to outpatient department with history of pain while passing stools. Clinical examination and radiological investigations were inconclusive. Exploratory laparotomy revealed hypervascular bluish mass in rectovesical pouch. Histopathology of excised tissue was suggestive of splenic tissue. On retrospective analysis, patient gave history of splenectomy 35 years back. High index of suspicion for splenosis is needed in patients with history of splenic injury or trauma.