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Uterine prolase is a common gynaecological disease. It is usually associated with cystocele and or rectocele as well as enterocele. Recurrent urinary tract infections may occur in chronically unreduced cystocele leading to calculus formation, cystitis, pyelitis, pyelonephritis and renal failure. We report a case of a 70 years old multiparous lady with third degree uterovaginal prolapse for twenty years, presence of multiple vesical calculus in the cystocele was noted on X-ray pelvis while undergoing investigation. Suprapubic cystolithotomy followed by vaginal hysterectomy with pelvic floor repair was done. Multiple vesical calculus were removed. Postoperative course was uneventful and she was discharged on 10th post-operative day. Patient is still on follow up with good urinary function and no recurrent UTI. [ABSTRACT FROM AUTHOR]

Tumors presenting in the inguinal hernia sac are considered to be extremely rare, with the more common neoplasms metastazing from the gastro-intestinal tract, ovary and prostate. A case of non-Hodgkin's lymphoma was identified in herniated sigmoid colonduring hernia repair while the hernia sac appeared unusual to the operating surgeon and the surgeon found sigmoid colon formed the posterior wall of hernia sac. This part of sigmoid colon could not be reduced and contained a firm growth, evaluation by the pathologists showed a malignant neoplasm, composed of anaplastic lymphocyte having excentical plasma nuclei and abundant cytoplasm. Histologic diagnosis is non-Hodgkin's lymphoma. This is the first report of non-Hodgkin's lymphoma found in herniated sigmoid colon. This case was reported in the Department of Surgery, Dhaka Medical College Hospital, Dhaka, and illustrates the value of routine microscopic evaluation of hernia sacs found from inguinal/femoral herniorraphies as it may be the primary presentation of an asymptomatic metastatic lymphoma. Additionally, it underscores the importance of surgeons' role in screening by submitting only macroscopically abnormal specimans for microscopic evaluation. [ABSTRACT FROM AUTHOR]