Background Amoebic liver abscess (ALA) is the most common infl ammatory space occupying lesion of the liver. It has a highly variable presentation causing diagnostic diffi culties. Untreated, complicated ALA has high morbidity and mortality.

This analysis confirms that RFA of lung metastases may achieve long-term survival in nonsurgical candidates with an acceptable complication rate hence supporting its incorporation into the oncosurgical management of lung metastases for the purposes of cure, stabilization and disease prolongation.

Polymastia is a term that is used to describe the presence of more than two breasts in human beings. It is synonymous with supernumerary or accessory breast tissue. Ectopic breast tissue (EBT) may occur any where along the primitive embryonic milk lines, which extend from the axilla to the groin, and may occur unilaterally or bilaterally. In the EBT any disease can develop that affects the normal breast, including fibroadenoma. Since publications describing this anomaly are rare, we decided to report a case of fibroadenoma in axillary breast tissue.

Gangrene of the stomach is a rare, often fatal disease which may be due to vascular, chemical, mechanical or infectious etiologies. We report a case of gastric gangrene due to necrotizing gastritis in a 50 year old female.

Background: Clinical features and outcomes of liver abscess are ever changing, even in South Asia, where parasitic infections are common. It is important to devise management strategies to suit the changing needs. We wanted to capture this emerging spectrum in "real life" through assessment of clinical features, management strategies and outcomes of a cohort of treated liver abscess patients at a single center. Methods: A retrospective study of patients admitted to a referral institution between February 2010 and June 2014 was undertaken. Patients with liver abscess who have received prior treatment in another hospital, and have then been referred for a complicated disease course were studied; their demographics, clinical presentations, evolution and outcomes were analyzed. Results: A total of 154 patients [males 109, 70.78%), mean age 43.71 ±16.49 years] were included in this study. Alcohol use was the most common (23.38%) predisposing factor, followed by biliary obstruction (20.78%) and diabetes (11.04%). Most common presenting features were fever, pain abdomen and jaundice [92.9%, 86.4% and 20.8% patients respectively]. Majority of patients (58.4%) had a solitary liver abscess; right lobe being the commonest site(61%). Median abscess volume was 180 ml (Range 7-1524 mL); abscess rupture occurred in 21 (13.6%) cases, most commonlyin subdiaphragmatic location. Overall, abscess drainage was required in 97 (63%) patients [single time aspiration 15 (15.5%), percutaneous indwelling catheter 80 (82.8%), surgical drainage 2 (2.1%)]. Patients who required percutaneous drainage were mostly males, had higher abscess volumes and were more frequently alcohol users and diabetics. Six (3.9%) patients died in the study period. Conclusion: While large abscess, alcoholism and diabetes were associated with increased need for catheter drainage, 37% can be treated by drug therapy alone. Careful selection of subjects for drainage may help in decreasing the mortality rate in this benign condition.