Splenic haemangioma is a rare disorder but remains the most common benign neoplasm of the spleen. It accounts for 0.1 to 14% of many large autopsy series. Most haemangiomas tend to be discovered in adults in the age group 30-50 years. In 80% of cases splenic haemangioma is usually found incidentally. Spontaneous rupture has been reported to occur in as many as 25% of these patients especially when the diameter of the tumour is more than 4 cm necessitating splenectomy as the only modality of treatment. We report a case of splenic haemangioma in a 23-year female. Laparoscopic splenectomy was undertaken and spleen removed through a small left inguinal hand port incision. Post-operative period was uneventful and histopathological examination report showed splenic haemangioma. She remains well three years post-operative.

We present a case of a 61 years old lady operated 2 years back for severe superior mesenteric artery stenosis with a surgical vascular graft and presenting as acute severe abdominal pain and vomiting. Her CT angiography showed occlusion of the surgical vascular graft with graft migration into small bowel. Both the findings of graft occlusion and bowel perforation were optimally demonstrated on the CT angiography study. The alarm of bowel perforation in addition to graft infection was raised by the presence of air pockets within the graft and its communication with bowel lumen. Coexistent graft infection was evident on graft culture.

Supine percutaneous nephrolithotomy (PCNL) is a less practiced modality for the treatment of upper-tract calculi. We hereby present our single center experience in 100 patients treated by supine PCNL over a period of 18 months. We found the procedure simple and feasible.

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