Testicular maldescent may be cryptorchid with descent being arrested along its normal pathway resulting in an abdominal, inguinal or high scrotal testis, or it may stray from the normal descent to settle in an ectopic site outside the scrotum; such as the perineum, pubic region, dorsum of the penis, femoral region, anterior abdominal wall and the contralateral scrotum. Management is orchidopexy through an inguinal crease incision as the length of the spermatic cord is normal. We report a 26 year old man with a left perineal testis who underwent orchidopexy as the testicular volume was normal.

Introduction: Gossypiboma is a retained surgical sponge commonly in the abdomen and pelvis. Risk factors include emergency and prolonged surgery. Attendant complications are: visceral obstruction, perforation, sepsis, fistulae and diagnostic dilemmas. The objective of this write up is to report the occurrence of gossypiboma and recommend corrective measures. Methods: A retrospective audit undertaken at two hospitals in the Coast region of Kenya between 2008 and 2016 involved 11 patients. Results: A female preponderance of 73% was observed. The mean age was 32 years. Emergency surgery accounted for 73% of the patients; with caesarian section dominating. Most patients were operated upon; while in one patient with uterine cervical tear and episiotomy, the