Ectopic adrenal cortex is a rare entity. Usually found in male children; commonly located around kidney, retroperitoneum, spermatic cord and para-testicular region. Rarely, adults with heterotopic adrenal glands are described. Incidence in females is very less; though sometimes detected accidentally in hysterectomy specimens. We describe a case of ectopic adrenal cortical cell in paratubal region in a patient with mucinous cyst adenoma of ovary. A 26-year-old female presented with complains of menstrual irregularities and abdominal discomfort for 6 months. Investigations suggested a right ovarian cyst. Right ovarian cystectomy with partial salpingectomy was performed; histopathology revealed mucinous cyst adenoma. Sections from tube showed presence of ectopic adrenal cortical rest in the paratubal region, incidentally discovered on microscopy. We present this case because of its rarity in females, interesting presentation with another unrelated gynaecological pathology, its potentiality for malignant transformation and possible complications.

A case of acute renal failure developing after consumption of fish gall bladder as a food item is reported. The patient recovered fully with conservative treatment and dialysis. The risk of acute kidney injury following ingestion of fish gall bladder, apparently for medical reasons is highlighted.

Ewing sarcoma/primitive neuroectodermal tumor (PNET) is a high-grade malignant neoplasm commonly affecting bones of the thoracic region. Primary Ewing sarcoma/PNET of the kidney is exceptional; it commonly affects young adults and is rarely reported in children. Here we describe a case of renal PNET in a 10-year-old girl who presented at our institute with haematuria and abdominal lump. Computer tomography scan revealed a huge mass in the right kidney. Computer tomography-guided aspiration from the mass showed cytomorphological features of a small blue round cell tumor. The patient underwent right radical nephrectomy. Histopathology with supplementary immunohistochemistry confirmed the diagnosis of PNET. She has been receiving treatment with adjuvant chemotherapy post-surgery and is currently disease free. Primary renal PNET is a distinct and rare entity. This tumor is very aggressive with low survival rate, even with a multi-disciplinary approach. We reported the case because it is rare in children, poses diagnostic challenges, is aggressive in behaviour and responds poorly to treatment.

Background: Dengue fever (DF) is a common mosquito borne disease caused by dengue virus and is transmitted by Aedes mosquito. It is one of the major public health problems in India. A large-scale outbreak of dengue fever occurred in 2016 involving several districts of Assam. Here we report our experience with Dengue cases. The present study was aimed to assess clinical and epidemiological aspects of dengue cases presenting in down town hospital, Guwahati, Assam.Methods: A record based retrospective study conducted in our centre. Total 880 fever cases, fulfilling WHO criteria for dengue suspicion were included in our study. Required data from the entire laboratory confirmed cases from 1st January to 31st December 2016 were collected from MRD (medical record department) and analysed. Epidemiological data were compared with previous year’s available data from 1st January to 31st December 2015.Results: The number of dengue cases in 2016 clearly outnumbered the dengue cases in past years. Most of the cases were in the age group 20-50 years with a male preponderance. The outbreak occurred during the months of August-November indicating increased vector transmission in the monsoon and post monsoon periods. Average days of hospital stay were 6 days.Conclusions: Measures can be taken both at personal and government level to reduce morbidity and mortality from dengue particularly during the monsoon period.