Benign ectopic prostate-a rare differential for a presacral mass.

A man in his mid-40s presented to the colorectal surgery clinic with complaints of chronic perianal pain for over 20 years. He had episodes of urinary incontinence associated with pain. There were no other symptoms to suspect bowel pathology. On examination, he was found to have a tender mass in the retro-rectal plane without any evidence of rectal mucosal irregularity. He underwent an MRI of the pelvis, which showed a well-defined T2 hyperintense partly cystic lesion in the presacral region abutting the mesorectal fascia and a normal prostate gland. With a suspicion of a tailgut cyst or a duplication cyst, he underwent an excision of the presacral mass. Intraoperatively, there was a 2 × 2 cm well-defined firm, cystic lesion anterior to the fifth sacral vertebra and coccyx. The lesion was adherent to the mesorectum and was excised. On histopathology, there were features of muscular stroma and bilayered glandular epithelium with clear cytoplasm conclusive of a benign ectopic prostate.

Spatiotemporal analysis of projected impacts of climate change on the major C3 and C4 crop yield under representative concentration pathway 4.5: Insight from the coasts of Tamil Nadu, South India.

India's dependence on a climate sensitive sector like agriculture makes it highly vulnerable to its impacts. However, agriculture is highly heterogeneous across the country owing to regional disparities in exposure, sensitivity, and adaptive capacity. It is essential to know and quantify the possible impacts of changes in climate on crop yield for successful agricultural management and planning at a local scale. The Hadley Centre Global Environment Model version 2-Earth System (HadGEM-ES) was employed to generate regional climate projections for the study area using the Regional Climate Model (RCM) RegCM4.4. The dynamics in potential impacts at the sub-district level were evaluated using the Representative Concentration Pathway 4.5 (RCPs). The aim of this study was to simulate the crop yield under a plausible change in climate for the coastal areas of South India through the end of this century. The crop simulation model, the Decision Support System for Agrotechnology Transfer (DSSAT) 4.5, was used to understand the plausible impacts on the major crop yields of rice, groundnuts, and sugarcane under the RCP 4.5 trajectory. The findings reveal that under the RCP 4.5 scenario there will be decreases in the major C3 and C4 crop yields in the study area. This would affect not only the local food security, but the livelihood security as well. This necessitates timely planning to achieve sustainable crop productivity and livelihood security. On the other hand, this situation warrants appropriate adaptations and policy intervention at the sub-district level for achieving sustainable crop productivity in the future.