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Endometriosis is the ectopic presence of endometrial tissue outside of the uterus. Bladder involvement of these lesions is not uncommon and has been reported and studied extensively. Mullerianosis is a term that describes the ectopic presence of tissues from the endocervix and endosalpinx in extrauterine sites. Only a few cases of Mullerianosis involving the urinary tract system have been reported in literature. We report a case of a 32-year-old lady with bladder mass and periodic hematuria and dysuria. She underwent TURBT 1and on histopathology was found to have bladder Mullerianosis. Patient was later treated with oral contraceptives with improvement.

Posterior perforation of duodenal ulcers is very rare; the infection may spread from the retroperitoneal space to the scrotum.A 75-year-old male presented with painful right scrotal swelling for 2 days associated with fever. During abdominal examination there was abdominal tenderness and scrotal swelling and tenderness.CT scan of the abdomen showed large amount of air collection in the retroperitoneal space extending to the right scrotum with contrast media passing to the retroperitoneum and right scrotum.Laparotomy done and there was a perforation in the posterior wall of the duodenum, suturing done and right scrotal abscess drained. Keywords: Peptic ulcer, Abdominal pain, Perforated duodenal ulcer, Scrotal abscess, Posterior duodenal ulcer, Case report

Urinothorax is the presence of the urine in the pleural space. This condition is very rare and occurs due to unrelieved obstruction of urinary flow.A 20-year-old female presented 7 days after cesarean section with tachypnea, and generalized abdominal pain. There was absent air entry over the left hemithorax. CT scan showed massive left pleural effusion and a stone obstructing the renal pelvis with hydronephrosis and peri-renal collection. The pleural fluid had high fluid creatinine level suggesting urine collection. Ureteroscopy done and double J catheter inserted.The effusion became loculated, thoracotomy and pleural decortication done. Keywords: Urinothorax, Renal stone, Hydronephrosis, Thoracotomy, Double J catheter

Inflammatory pseudo tumor of the tunica is rare and typically presents as long standing, painless scrotal mass.A 23-year-old man had palpable, multiple, hard scrotal masses for 3 months. Laboratory investigations were normal (including LDH, AFP, HCG).Radical inguinal orchiectomy done.Macroscopically the testis and epididymis were normal, with multiple gray nodules surrounding the testis and epididymis, attached to the tunica albuginea and vaginalis, had smooth surface, partly whorled cut surface.Histologically, the nodules were well circumscribed, consisting of fibrous tissue, with infiltration by plasma cells and mononuclear inflammatory cells, giving the diagnosis of plasma cell granulomas. Keywords: Inflammatory pseudotumor of the testis, Testicular tumor, Plasma cell granulomas, Tunica albuginea, Tunica vaginalis