Intussusception as a cause of intestinal obstruction in adults is rare. There is invariably an underlying pathology which leads to intussusception in adults. A case of intussusception in an adult due to a small intestinal lipoma is presented in view of this association. Ultrasound and CECT may help in a preoperative diagnosis. However early surgical intervention is the mainstay of treatment in order to confirm the diagnosis of the underlying pathology, thereby avoiding misdiagnosis of an underlying cancer.

Esophageal leiomyoma is a relatively rare tumor of esophagus but it is the most common benign neoplasm of the esophagus. Small esophageal leiomyoma can be observed but larger ones and those producing symptoms should be excised. As observed for other esophageal tumors, dysphagia is its main symptom. Traditionally, open thoracotomy and enucleation are its main treatment but in the last few years video assisted thoracoscopic surgical (VATS) enucleation is gaining recognition with proven advantages of minimally invasive surgery. Herein we present our experience with patient presenting with cough rather than dysphagia as a main symptom, who was diagnosed to be having giant esophageal leiomyoma. VATS guided enucleation was accomplished successfully. Size of lesion was 16 × 4 × 3 cm. Postoperative recovery was uneventful and patient is not having any signs of recurrence, after three years during follow-up period.

Primary squamous cell carcinoma (PSCC) of thyroid is an extremely rare malignancy of thyroid. Herewith, we describe a case report of female patient who presented with neck swelling; FNAC misdiagnosed it as papillary carcinoma of thyroid but, after resection, biopsy revealed it to be a case of squamous cell carcinoma of thyroid. After extensive investigations no possible primary focus of squamous cell carcinoma was found elsewhere, so diagnosis of primary squamous cell carcinoma of thyroid was made. Patient underwent chemoradiation but still patient succumbed to death within a year.

Worldwide, breast cancer is the commonest malignancy in female population, and an increasing number of women are undergoing modified radical mastectomy (MRM) as a treatment for breast cancer. Though for most patients mastectomy goes uneventful, but for some patients complications of mastectomy are seen that cause morbidity, prolong hospital stay, and delay the adjuvant treatment. Seroma is encountered as a commonest complication after mastectomy. Though various factors are suspected in causation of seroma, in this prospective study, we tried to evaluate outcome of two different surgical technique of MRM in causation of seroma formation. We randomized all patients of breast cancer undergoing MRM in to two groups; in one group, we used electrocautery for raising the skin flap and axillary dissection while in another group we used scalpel to raise the skin flap along with aid of scissors and suture ligation for axillary dissection. Incidence of seroma formation was compared in both the groups. Incidence of seroma was significantly more with use of electrocautery. Results in both the groups were compared by chi-square method, and statistically significant difference in incidence of seroma formation was found between two groups. So in breast surgery, there should not be an injudicious use of electrocautery.