Inflammatory fibroid polyps are uncommon; moreover, that polyp causing secondary intussusception in an adult are still rarer. Here, we report a case of inflammatory fibroid polyp of the small bowel that presented as just vague pain in the abdomen in a 48-year-old woman. Even though investigations reported Ileo-ileal intussusception caused by a polyp, the patient did not have clinical symptoms that could be correlated. The rareness of the disease made it a clinical challenge to subject the patient to laparotomy. The rareness of non-neoplastic condition being the cause for adult ileo-ileal intussusception and the clinical challenge associated with it makes it a case worth reporting.

No abstract

Introduction: Most of the relevant literature on Iliopsoas Abscess(IPA) is in the form of case reports and short case series.[1] The incidence of IPA is reported to be 12 new cases per year worldwide.[2] A secondary IPA shows direct extension of infection from a neighbouring organ, and primary IPA shows hematogenous spread from an unknown source.[3,4]Computed Tomography(CT) and Magnetic Resonance Imaging(MRI) have helped in the early diagnosis of IPA.[8,9] Treatment consists of adequate drainage. Aim:To compare percutaneous drainage and open surgical drainage as a treatment modality for iliopsoas abscess. Settings and Design: Retrospective study. Methods and Materials: All patients aged 18 to 60years with IPA admitted to the Department of GeneralSurgery of our institute, between 1st of March, 2012 and 31st of July, 2022 were included. Results: Nineteen out of thirty patients(63.3%) were males. Average age was 30.5years. Seventeen(56.7%) cases had primary IPAs, and Staphylococcus spp. was the most common isolate. Thirteen(43.3%) cases had secondary IPAs, with spinal tuberculosis being the most common underlying condition. Eight patients(26.7%) were subjected to open surgical drainage and 22(73.3%) to percutaneous drainage(PCD) under ultrasound(US) guidance. Nine-and-a-half days on an average, were spent in the hospital. 8.5 days vs. 12.1 days, was the hospital stay for PCD patients compared to open drainage patients. The overall recurrence rate was 10%. No mortality was recorded. Conclusion: When utilized to treat IPAs, US guided PCD with proper antibiotics is secure and productive, with a shorter hospital stay. Open surgical drainage may be required if the IPA is multiloculated or if there is an underlying disease.

Amyandrsquos hernia refers to a rare type of inguinal hernia whose content is vermiform appendix that may be normal inflamed or perforated. A 35-year male presented with a painful right groin swelling of 3 months duration. It was diagnosed as an indirect right sided inguinal hernia. During surgery the inguinal sac was found to contain caecum and vermiform appendix which were not inflamed. The case is reported because of its rarity and belonged to type 1.