Filariasis is traditionally diagnosed following screening of peripheral smear for microfilaria. Clinically lymphatic filariasis mimics the common local diseases. Thus, it is plausible to observe this parasitic infection in histological sections. We encountered three such cases, which displayed diverse patterns of immune response. Presence of both dead and viable worm at the same foci suggests that such immune response could be the result of parasitic death. Histological features such as endothelial injury and granulomatous response attests to the role of Wolbachia bacteria in influencing tissue response.

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Technological advancement like chromoendoscopy, autofluorescence and magnification endoscopy has propelled usage of endoscopy for pre-operative diagnosis. Intestine resection now accounts for less than 1% of all surgeries. Despite these a death rate of 1.1% due to acute abominal conditions compells to look at indications and pathological features of associated diseases. Clinical details for all the 27 patients who had undergone intestinal resection were collected. The specimens were formalin fixed and examined. Microscopic features were recorded from the evaluation of sections. Out of 27 specimens, 13 were small intestinal resections. Ischemic bowel disease and perforation were common in small intestine and adenocarcinoma was common in large intestine. Uncommon pathologies like synchronous ampullary carcinoma and rectal carcinoma, a case of intestinal lipoma and inflammatory myofibroblastic tumors were included in collective. Peritonism following blunt injury should direct investigation for perforation. Aaggressive surgical approach is commonly resorted to in Ischemic bowel disease.

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