HighlightsIleal endometriosis is a rare cause of small bowel obstruction.It must be considered in women in the reproductive age group with progression of cyclical symptoms of abdominal pain.Appendiceal endometriosis is a very rare entity.Preoperative diagnosis is difficult due to clinical and radiological similarities to other infective/inflammatory bowel disorders.

HighlightsLacrimal gland adenoid cystic carcinoma present with late metastases.Surgery of the primary is the only proven mode of treatment with radiotherapy used in selected cases.Disseminated metastases can be managed successfully with staged procedures depending on the general condition of the patient.This is the first report describing such staged surgical treatment for widespread hepatic and pulmonary metastases with a good outcome.

With improving long-term survival in patients undergoing PD for malignancy more such patients will be identified in future. Patients with symptomatic PEA stenosis following PD for malignancy can be managed surgically, with excellent outcomes in centers of expertise in pancreatic surgery.

HighlightsDuplication cysts seen commonly in the pediatric population is a rare entity in the elderly.Surgical resection is necessary due to possible complications.Laparoscopic management aids early recovery and minimum morbidity.

IgG4-sclerosing cholangitis (IgG4-SC) commonly presents with type 1 autoimmune pancreatitis. Isolated IgG4-SC is rare. Differentiating IgG4-SC from cholangiocarcinoma preoperatively is challenging due to overlapping radio-clinical manifestations and difficult preoperative histology. We present three cases preoperatively diagnosed and surgically treated as hilar cholangiocarcinoma. First and second cases presented with cholangiocarcinoma with portal vein involvement and third with a malignant-appearing hilar stricture. On histopathology, IgG4-SC was diagnosed in the first two cases. Third patient had raised serum IgG4, and histopathology was inconclusive for IgG4-SC and negative for malignancy. However, she responded to steroid therapy.