Pregnancy in the broad ligament is a rare form of ectopic abdominal pregnancy with a high risk of maternal mortality. Ultrasound examination may help in the early diagnosis but mostly the diagnosis is established during surgery. We are reporting two cases of broad ligament pregnancy one diagnosed on ultrasound and the other was diagnosed intraoperatively. Both these patients had uneventful postoperative recovery.

Management of prolactinoma in pregnancy is a big challenge for the treating obstetrician as prolactin levels are normally raised in pregnancy and this creates a possibility of missing the diagnosis of prolactinoma. Women with micro adenomas and intrasellar macro adenomas do not require serial magnetic resonance imaging (MRI) or visual field testing as required in macro adenomas with extrasellar extension. A strict and vigil monitoring during each trimester for any clinical signs and symptoms related to tumor will suffice for the diagnosis of enlarging prolactinoma and for any active intervention required thereof. Dopamine agonists are the first choice of drugs to treat these tumors during pregnancy. Cabergoline is reported to be more effective and better tolerated as compared to traditional bromocriptine, with minimal risk of spontaneous abortion, congenital malformations or menstrual abnormalities. We are reporting a patient with macro prolactinoma who was treated successfully throughout her pregnancy with cabergoline. We achieved a very good control of prolactinoma without any significant alteration of dose and also without any adverse effects. We convey that cabergoline can be a first choice drug to treat macro prolactinomas in pregnancy also.

Leiomyomas are the commonest uterine and pelvic tumours. The usual anatomical location is the body of the uterus. Cervical leiomyomas are uncommon and presentation as a huge abdominal mass is rare. We report a case of a 45-year old female who presented with abdominal distension and weight loss for one year. Abdominal examination revealed a huge mass of 40 week size pregnant uterus filling the whole abdomen with restricted mobility, non tender and solid consistency mimicking an ovarian tumour. On ultrasound this was a solid mass with a cystic component. There was a large cervical fibroid visualized on laparotomy which was successfully removed. Histopathological examination showed a cervical fibroid with hyaline and cystic degeneration. The patient had an uneventful postoperative recovery.

Postcoital vaginal rupture or tear is a well-known entity to the gynecologist, albeit unusual; however, such cases are rarely encountered by the general surgeon. The index case is reported to highlight the rare situation wherein a middle-aged woman underwent laparotomy for a suspected small bowel perforation, which revealed a vaginal tear as the cause of pneumoperitoneum. This case emphasizes the importance of taking a gynecological history and performing a gynecological examination when the clinical diagnosis is uncertain.

Placenta percreta is a rare but a life threatening condition. Control of massive haemorrhage is the first priority; however, the patient's desire for future fertility has to be taken into consideration. Nevertheless, in cases of massive haemorrhage, hysterectomy should be carried out without delay to prevent major complications or even maternal death. Here we present a case where we had to do a quick subtotal hysterectomy because of torrential bleed due to placenta percreta.