Lipoma arborescens is a slow-progressing intra-articular benign lesion that typically affects the knee joint's suprapatellar recess. It occurs due to lipomatous proliferation of the synovium, giving a characteristic frond-like appearance. It is a rare cause of intermittent knee pain and joint effusion. We draw attention to this rare condition to increase the knowledge of its clinical symptoms and imaging characteristics, allowing for an early diagnosis and appropriate management. Magnetic resonance imaging (MRI) is considered the initial and the single imaging modality to evaluate this condition in the current era.

A rare illness known as emphysematous gastritis is caused by bacteria that produce gas, such as Clostridium perfringens and Escherichia coli. In gastric emphysema and emphysematous gastritis, gas can be observed within the stomach wall. Gastric emphysema should be distinguished from emphysematous gastritis. Radiological imaging features and clinical presentation are used to identify emphysematous gastritis. The imaging technique of choice for this condition is computed tomography (CT). Emphysematous gastritis has a high risk of morbidity and mortality; hence, early diagnosis and care are crucial. We discuss a case of pancreatitis with emphysematous gastritis in a male presenting to the general surgery department with abdominal pain and vomiting. The patient was advised to undergo an ultrasound and computed tomography for further evaluation.

Middle-aged women with ureterovaginal fistula (UVF) after hysterectomy represent a painful condition for the patients in the community. Accurate diagnosis and proper planning before surgery are essential for effective outcomes. CT urography is the modality of choice in diagnosing ureterovaginal fistula. CT urography helps in evaluating the fistula as well the associated renal complications following the condition.Here we present a case of ureterovaginal fistula reported with a history of vaginal hysterectomy for subserosal fibroid in December 2021.

Perineal epidermoid lesions are uncommon, with only a few research papers accessible on the subject. Because these lesions are varied in origin and can range from benign to malignant, it can be difficult to tell them apart. A wide variety of lesions are evaluated in the differential diagnosis of perineal cystic lesions, however perineal epidermoid cyst is uncommon. An epidermoid cyst is a benign ectodermal congenital abnormality. Epidermoid cysts can be found all over the body, however, they are uncommon in the perineal area.We discuss a case of a perineal epidermoid cyst in an adult female presenting to the general surgery department with painful perineal swelling. The patient was advised for an ultrasound (US) and MRI for further evaluation and the findings are reported.

Ectopic crossed testis is a rare condition in which both testes descend through the same inguinal canal. The most common presentation is an ipsilateral inguinal hernia with contralateral cryptorchidism. This is a case report of a six-year-old male child who had an empty right scrotal sac. Diagnostic laparoscopy is useful for both diagnosis and management. Management is determined by the anatomy of the vas, vessels, and testis discovered during surgical exploration. Transseptal contralateral orchidopexy results in good tension-free testicular fixation in the scrotum.