Vulvar Elephantiasis of Filarial Origin: A Case Report.

Lymphedema is accumulation of lymph in the soft tissue due to obstruction of lymphatics. Lymphedema can be primary or secondary. Filariasis caused by Wuchereria bancrofti and Brugia malayi is one of the secondary causes of lymphedema. Longstanding lymphedema can lead to ‘elephantiasis’. Elephantiasis of female genitalia is extremely rare. We present one such case of a 40-year-old lady having giant vulvar elephantiasis of filarial origin managed successfully by surgery (vulvectomy with vulvoplasty).

Pancreaticoduodenectomy with left lateral hepatic segmentectomy : A rare procedure for the management of complex pancreaticoduodenal and liver injuries in blunt abdominal trauma.

Context : Pancreaticoduodenal complex injuries are uncommon after blunt abdominal trauma and are difficult to diagnose. Case Report : We report a case of 25 years old male who suffered massive Pancreaticoduodenal complex with liver injuries due to blunt abdominal trauma. At exploration we found that 2nd part of duodenum and head of pancreas were completely shattered and segment II & III of liver were lacerated. We performed Pylorus preserving Pancreaticoduodenectomy with segment II and III resection. Conclusion : Pancreaticoduodenal injuries should be suspected in every patient with trauma to upper abdomen. Exploration should be done at the earliest.