Tuberculosis (TB) is a global disease and if not adequately treated can lead to morbidity and mortality. Though genitourinary TB is common and only next to pulmonary TB, cutaneous ‘ulcerative’ tuberculosis of the scrotum is not reported so far in the literature. We present a 32-year-old man with a non-healing scrotal ulcer and underwent excision. Histopathology was consistent with TB. Antitubercular therapy was given and at the end of a year’s follow-up, there has been no recurrence. TB of the scrotum should be considered in the differential diagnosis of scrotal ulcers. Proper diagnosis and adequate treatment will offer a cure to such patients.

Background: Colorectal cancer progresses without any symptoms early on, or those clinical symptoms are very discrete and so are undetected for long periods of time. The case reported is an unusual presentation of colorectal cancer. Case Report:A 60 year old man presented with right sided abdominal swelling. On examination, a well-defi ned, fi rm, tender swelling was noted. Computed tomography confi rmed the presence of a mass arising from the right colon with infi ltration of the right lateral abdominal wall and adjacent collection. An exploratory laparotomy with drainage of the subcutaneous abscess, resection of ascending colon, and ileotransverse colon anastomosis was performed. Conclusion:A differential diagnosis of carcinoma colon should be considered when an elderly patient presents with abdominal wall abscess accompanied by altered bowel habits or per rectal bleeding, even if there are no other signifi cant clinical symptoms and a thorough investigative work up is required to confi rm the diagnosis, to avoid untimely delay in treatment, and reduce mortality.

Background: Chronic severe pain following inguinal hernia repair is a significant post-operative problem. Pain is a complex study subject, mostly defined as an unpleasant sensory and emotional experience associated with actual or potential tissue damage.Methods: Patients undergoing elective inguinal hernioplasty in the Hospital from March 2016 to March 2017 were included in the study. Seventy-eight patients were present for follow up for a period of 6 months. Patients presenting with obstructed/strangulated inguinal hernia were excluded from study.Results: Majority of our patients were male 97.43% with mean age 49.1 years (range 16-78 years). Table 8 shows the VAS scores of patients at six months following surgery. When patients were divided into groups of mild (1-3), moderate (4-7), and severe pain (>7) on basis of VAS score, it was found that majority, 34.61%, had mild pain, 8.97% had moderate pain, and less than 1% had severe pain.Conclusions: In the present study, author found that chronic pain following inguinal hernia repair causes significant morbidity to patients and should not be ignored. All measures must be taken to suppress early postoperative pain and prevent complications as these lead to development of chronic pain.

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