Mucinous cystic neoplasm of pancreas are relatively rare >95% occur in the body and tail of pancreas. Majority occur in young and middle aged female containing ovarian type subepithelial stroma. These tumors are either premalignant (MCN with low grade dysplasia) or (MCN with high grade dysplasia) or invasive carcinoma. Differential diagnosis includes pancreatic pseudocyst and pancreatic hydatid cyst. Investigations include ultrasonography (USG), Magnetic resonance imaging (MRI), Contrast enhanced computed tomography (CECT) supplemented by endoscopic USG with cyst fluid aspiration.

Indian subcontinent has high incidence of both amoebic and pyogenic liver abscess. Currently most of the liver abscesses are managed with interventional radiology based percutaneous drainage (either ultrasound or CT guided). Caudate lobe liver abscess is both a rare and at a peculiar location for such intervention as well as carries a high risk of rupture posing a great challenge for the surgeon in planning the appropriate management. In view of viscinity to vascular structures and viscera near liver hilum and difficult approach by laparoscopic technique, open surgical drainage seems to be a feasible option.

Background: Acute cholecystitis is a common surgical problem and was usually treated with conservative management followed by surgery after an interval of 6/8 weeks. The aim of the study was to compare the efficacy of immediate with delayed laparoscopic cholecystectomy. Methods: Randomized controlled trial in RRMCH from January 2019 to June 2019 was conducted on patients diagnosed to have acute cholecystitis. The 25 patients underwent immediate laparoscopic cholecystectomy within 24-72 hours of admission and 25 patients underwent DLC. Results: In the early surgery group intraoperative complications noted were adhesions, bleeding, GB perforation and bile duct injury. Although the percentage of complications was high in delayed group no statistical significance could be derived between the groups Conclusions: Early laparoscopic cholecystectomy (ELC) surgery had similar intra and postoperative complications compared to delayed surgery in acute cholecystitis but was associated with a shorter surgery and lesser stay in hospital.

Background: Acute pancreatitis is one of the most commonly encountered clinical entities in surgical practice and controversy still exists regarding the clinical features of acute pancreatitis. An early diagnosis, however, is regarded as mandatory for successful treatment. Over the years many Authors have proposed different scoring systems for the early assessment of the clinical evolution of acute pancreatitis. The most widely used scoring systems are often cumbersome and difficult to use in clinical practice because of their multi factorial nature. Thus, a number of unifactorial prognostic indices have been employed in routine hospital practice, such as C-reactive protein (CRP), serum amylase and serum lipase. These serum enzymes are easy to obtain in normal clinical practice and many authors consider them as reliable as multi factorial scoring systems.Methods: A hospital based observational prospective study was done with 30 patients to measure C reactive protein levels in patients of acute pancreatitis and evaluate if CRP levels predict the severity of pancreatitis.Results: In cases where CRP was raised >100 mg/dl on day 7 and beyond showed either a complication or increased duration of stay and delayed recovery. This correspondence of CRP with the clinical outcome co related well with other parameters like blood counts, serum lipase and amylase levels too.Conclusions: Hence, CRP can be a very useful uni factorial tool in assessing and thereby predicting the outcome in a case of pancreatitis.