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IntroductionGall bladder anomalies varies from variations in the size, site, duct systems, and shape. Abnormal location comprises the commonest one.The presence of an ectopic gall bladder is estimated to occur in around 0.1–0.7% of individuals, it can be truly ectopic locating under the left lobe of the liver or just to the left of falciform ligament.Gall stones are common disorder that may mandate cholecystectomy especially in symptomatic patients, surgery can be done laparoscopically safely in cases of abnormal anatomical position, but such cases may be at higher rate of complications especially if associated with other biliary tract anomalies.MethodsSix cases of symptomatic gall stones who underwent laparoscopic cholecystectomy included in this case series. During insertion of the telescope through the umbilical port, we found midline gallbladder under the falciform ligament instead being under right lobe of the liver. We did modification of the port sites by placing epigastric port in the left hypochonrdium.ResultsIn all the six cases the surgery had been done successfully laparoscopically without conversion to open technique. Follow up of the patients done for 2 months with no post-operative sequelae.ConclusionLaparoscopic cholecystectomy for midline gall bladder is technically difficult. Modifying the port sites make the surgery easier. MRCP preoperatively, intraoperative cholangiography, or fluorescent cholangiography may be needed if there is any concern about biliary anomalies or for real time detection of biliary injuries.

A 35-year-old man presented with poorly localised lower abdominal pain for 3 months. Abdominal examination revealed lower abdominal tenderness, with normal other parts of examination. CT scan of the abdomen showed irregular multiloculated mass related to the upper part of the urinary bladder with mild rim enhancement in the postcontrast study with no areas of calcifications. During laparotomy, we found a mass attached to the superior part of the urinary bladder and arising from its wall. Complete excision was done without opening the cavity of the bladder. The mass was opened and was a hydatid cyst of the bladder containing multiple daughter cysts.

Abdomen cocoon is a rare disease in which a thick peritoneal membrane wraps the intestine causing the bowel loops to adhere to each other. It may be either primary(idiopathic) or secondary to other causes like previous abdominal surgery. Most patients present with abdominal pain and intestinal obstruction. The condition is usually diagnosed intraoperatively.Case 1A 30-year-old male patient presented with abdominal pain and bilious vomiting. The patient had similar previous attacks. Examination showed distension abdominal distension with central tenderness. Plain abdominal X-ray showed multiple air fluid levels. During surgery most of ileum was enclosed by thin membrane with dilated proximal jejunum. Release of the bowel loops was done. The patient was well after surgery and was discharged with no post-operative complications.Case 2A 35-year old male presented with chronic right lower quadrant abdominal pain, the past medical and surgical histories were non-relevant. Abdominal examination showed tenderness on deep palpation at the right iliac fossa, abdominal ultrasound and abdominal X-ray were normal. During diagnostic laparoscopy the terminal ileum was enclosed with a thick whitish membrane with dilated proximal ileum. Release of the adhesions was done. The patient was well in the post-operative period and he was discharged home with no post-operative complications.In both cases the biopsy from the membranes showed features of chronic inflammatory process.Abdomen cocoon is one of the rare causes of small bowel obstruction. The bowel adhesions should be opened and nonviable segments resected. Most patients have good long term outcome.

A field experiment on eco-friendly pest control in cucumber (Cucumis sativa L.) field was conducted at Rajshahi University during April, 2011 to June, 2011 with eight botanical pesticides prepared from the leaves and seeds of Bangladeshi plants. These botanicals are mahogany seeds, (Swietenia mahagoni), chirata leaves (Swertia chirata), jute seeds (Corchorus olitorius L.), garlic (Allium sativum L.), marigold leaves (Tagetes erecta) and carrot leaves (Daucus carota). One control treatment without botanicals was maintained during this experiment where only water was sprayed. Out of these botanicals, a less number of insect attacks on cucumber leaves (1.33 ± 0.19) were found in combined treatment of mahogany and chirata whereas a high number of insect attacks were observed in combined treatment of garlic and jute seed (5.89 ± 0.40) and control (4.66 ± 0.33). Individual application of chirata extract also showed good protection of cucumber leaves (1.67 ± 0.19) from insect attack. A smaller number of leaves perforations were found in the combined treatment of mahogany and chirata (3.44 ± 0.29) compared to control (14.22 ± 1.05). Chirata extract also showed good performance (4.00 ± 0.19) against leaves perforation of insect. Besides the pest control, botanical pesticides also have enormous effect on plant growth. The tallest cucumber plant was observed in the combined treatment of mahogany and chirata (469.00 ± 63.51 cm) and shortest in garlic treatment (84.56 ± 15.24 cm). The cucumber production was also high in combined treatment of mahogany and chirata (1863.33 ± 196.32 g) compared to control (1260.00 ± 501.63 g). From this study, it is found that combined application of mahogany and chirata extract not only showed good protection of cucumber plant from insect attack but also increased the cucumber production. Therefore, we conclude that farmers should use botanical pesticides from mahogany seeds and chirata leaves instead of toxic chemical insecticides for controlling pest in cucumber field.

HighlightsHydatid disease is a real health problem in endemic regions.The disease may be discovered incidentally during routine investigations.Intraperitoneal rupture is very serious that may result in severe anaphylactic reaction.

Highlights Hydatid disease is endemic in certain parts of the globe. High index of suspicion is required for the diagnosis of this disease specially in rare anatomical sites like the calf. Involvement of other organs must be excluded as the disease may affects many organs simultaneously.

Highlights Solid pseudopapillary tumor of the pancreas is a rare tumor of low malignant potential. It may be diagnosed incidentally, or present with nausea and vomiting. The aim of this paper is to present a case of solid pseudopapillary tumor of the pancreas.