Pelvi-ureteric junction obstruction is a common urological entity presenting with hydronephrosis and pain. Most commonly the causative factor being a calculus in the upper ureter or at PUJ. Other causes being strictures, idiopathic brosis and less commonly aberrant renal vessel. Vascular bar is the new terminology coined for this vascular entity. Here we present a case of 36 year old woman who presented with left PUJ obstruction, which was found to be due to a vascular bar crossing at the pelvi ureteric junction.

The Covid 19 pandemic has reduced the number of patients visiting a tertiary health care facility. This has caused an increase in manpower and resource consumption; to tackle the current scenario efficiently we must understand these changing trends to plan for a better future. The WHO surgical checklist offers a tool to reduce the morbidity and mortality. With the advent of the corona virus, a crisis-like situation has occurred. To settle this crisis, modification in the WHO surgical checklist need to be done by implementation of new surgical guidelines so that all kind of surgeries could be possible without risking the life of surgeons, nursing, paramedical staffs, and ground staffs. A Brief outline is drawn keeping in line with the WHO surgical check list, to lay a "Neo surgical check box".

Xanthogranulomatous inammation is a rare form of chronic inammation which is characterized histologically by the presence of high number of foamy histiocytes with lymphocytes and plasma cells. It can involve any organ, but the most common sites are kidney and gallbladder. Due to the rarity of this condition, we report a case of xanthogranulomatous appendicitis in 35-year-old lady, who presented with acute pain abdomen, vomiting, fever and operated as a case of an acute appendicitis.

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