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Ocular choristomas are uncommon lesions chiefly presenting in children. Choristomas may contain dermal and epidermal components, muscle, cartilage, bone, etc. They are usually seen in epibulbar conjunctiva, but epipalpebral location is uncommon. We present a case of epipalpebral chondroid choristoma presenting in an adult patient.

Massive ovarian edema is a rare, non-neoplastic solid tumor-like lesion. It results from compromised venous and lymphatic drainage due to partial or intermittent torsion of ovarian pedicle. Pain, distension or abdominal mass, menstrual irregularities, infertility and hormone-related symptoms can be the clinical presentation. We report a case of massive ovarian edema in a 28-year-old female who presented with acute pain abdomen. She was diagnosed clinico-radiologically with solid ovarian tumor and massive ovarian edema on histology. Massive ovarian edema should be suspected in female of reproductive age group presenting with abdominal pain, solid enlargement of ovary on radiology and normal serum tumor markers.

Ovarian tumors are relatively uncommon in paediatric age group and mostly occur in the period after menarche and are extremely rare prior to menarche. However, in children and adolescent, the epithelial ovarian tumors account approximately 10% to 28% of all ovarian tumors. In the present case, the patient was presented with abdominal pain for 1 day and no mass was felt on physical examination. Contrast-enhance computed tomography abdomen and pelvis showed a left ovarian cystic mass measuring 7.3×5.1 cm in size and unilateral oophorectomy was done. Tumor shows multiloculated cysts of varying sizes filled with mucinous fluid. Cysts were lined by tall columnar epithelial cells and show predominantly periodic acid-Schiff positive neutral mucin favouring benign nature of lesion. We present this case due to its uncommon age of presentation and the patient was premenarchal girl.

Vein of Labbe thrombosis is an uncommon subtype of cerebral venous thrombosis (CVT). It clinically presents as headache, focal seizures, mass effect or altered sensorium. Severity of illness is multifactorial: degree of thrombosis, patency, blockage or hypoplasia of opposite vein, presence or absence of collateral anastomosing circulation, proximity with ventricles, size of infarct etc. Though it's a rare site to be involved by thrombosis but most frequent among young pregnant women as a subtype of CVT. There are five variants of Vein of Labbe reported in literature among which left sided type I Vein of Labbe variant is more common among young females.Therapeutic dose of Low molecular weight heparin (LMWH) is the treatment of choice in acute event of CVT during pregnancy followed by prophylactic dose till postpartum period. We present a rare and interesting case of Vein of Labbe thrombosis in which history of trauma misled the early diagnosis. A young pregnant female presented to ED with complaints of loss of consciousness, vomiting, generalized headache and right ear bleeding within 24hours of encountering a road traffic accident. The patient was evaluated as cerebral injury and Vein of Labbe (left) thrombosis was an incidental finding noticed in MRV imaging with normal platelet counts and coagulation profiles. She was managed conservatively and show drastic improvement without administration of LMWH. Antithrombotic agents were not used in this case because of her progressive clinical improvement, reduction in size of infarct with time, no evidence of development of new infarct, normal coagulation profile and post-traumatic thrombotic event. This case is presented to emphasize that CVT may develop secondary to trauma and not always as a consequence of hypercoagulable state in pregnancy, vein of Labbe thrombosis must be looked into consideration in traumatic case of CVT if patient is a young pregnant women and antithrombotic agents are not mandatory in treatment if coagulation profile is normal. This case is interesting in its clinical presentation, development of CVT in spite of normal coagulation profile, rare site of thrombosis (Vein of Labbe), clinical improvement without administration of anti-thrombotic agents, good clinical outcome and prognosis with no residual effects.

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