Thymomas are rare neoplasm of Anterior Mediastinum originating within the epithelial cells of the thymus and it is exceedingly uncommon in children and young adults, rises in incidence in middle age, and peaks in the seventh decade of life. One third to one half of patients present with an asymptomatic anterior mediastinal mass on chest radiograph, one third present with local symptoms (cough, chest pain, superior vena cava syndrome, and/or dysphagia), and one third of cases are detected during the evaluation of myasthenia gravis. Myasthenia gravis is a disease of the neuromuscular junction which causes progressive weakness of muscles. Indication of thymectomy for all cases of myasthenia gravis has been a topic of debate but thymectomy is indicated in all cases with thymomas no matter the stage of myasthenia gravis. We present a rare case of Thymoma as 70/Female patient presented with a painful lateral neck swelling on left side with Myasthenia Gravis and Dysphagia. We couldnt find any similar cases in literature. USG Neck was done which showed a 5.3x5.3x4.3cm multilobulated mass in left supraclavicular region inferior to left lobe of thyroid with calcification suspicious of malignancy which possible origin from Thyroid and Parathyroid Gland. On CECT scan there was 4.1x3.4x3.8 cm isodense mass which seems to be arising from lower pole of left thyroid lobe and extending in surrounding structures. FNAC was s/o Thymoma type A. Patient underwent Sternotomy- entire tumor along with thymus was dissected, however posteriorly it was densely adhered to Left Vagus Nerve Giving Suspicion of Neurofibroma. Specimen Sent for Frozen Section which confirmed it to be Type A thymoma. Histopathology Report concluded the diagnosis- Type A Thymoma. Post Operative was Uneventful. Thus, we conclude a rare case of Neck Swelling with series of event to reach to a Final Diagnosis of Thymoma.

Rectal foreign bodies have a been a part of history for causing anorectal trauma. The first described report on the management of retained rectal foreign bodies dates back to the 16th century,and the first case reports of the modern era were published in 1919. The mean age at presentation is 44 years with a decidedly higher proportion of male patients.Mostly the foreign body found in rectum are inserted with an attempt to hide illegal objects or for sexual activities, and patients do not share complete and proper history with the treating doctor because of Embarrassment which complicates the management. We present a case of 30-year-old /M, who works in a plastic factory presented to casualty with c/o Constipation and Abdominal pain. On Detailed History the Patient explained the incident of inserting a self-made plastic tube in the Rectum which failed to come out on trying. On Xray Abdomen Erect s/o dilated bowel loops, with no gas under diaphragm. CECT showed large oblong foreign body in Rectum. Patient was taken to operating room and Manual removal of Foreign Body done under Spinal Anaesthesia. Foreign body was found to be a tubular, blunt, atraumatic plastic tube. Thus, we present a case of Rectal Foreign body which could be removed without operative intervention as the object was blunt and patient presented early to casualty.