Fusions of teeth and talon cusp are two rare developmental dental anomalies, affecting both primary and permanent dentitions. Both the anomalies are mostly reported as isolated finding and are rarely associated with other dental anomalies. Talon cusp is more common in maxillary anterior teeth in permanent dentition and fusion is commonly reported in mandibular teeth in primary dentition. The co...

A flash flood and landslide in the Leh region of the Indus Valley in the Indian state of Jammu and Kashmir on 5–6 August 2010 resulted in hundreds of deaths and great property damage. Observations have led to the hypothesis that the storm, which formed over the Tibetan Plateau, was steered over the steep edge of the plateau by 500-hPa winds and then energized by the ingestion of lower-level moi...

Lipomas are benign tumours and are most common mesenchymal soft tissue tumours, which are composed of lipocytes. Usual sites of occurrence are trunk and extremities. Axilla is very unusual site of lipoma, giant lipomas being very rare. We report a case of Recurrent giant lipoma in left axilla extending upto root of neck superiorly, scapular region posteriorly and underneath Pectoralis major & m...

The development of spontaneous hyperthyroidism following primary hypothyroidism is an unusual occurrence. We report two cases of confirmed primary hypothyroidism who subsequently became hyperthyroid. Thyroid stimulating antibodies were present in the sera of both patients during the hyperthyroid state. The significance of this sequence of events is discussed and a possible explanation proposed.

Benign cystic mesothelioma of the tunica vaginalis is a rare occurrence. It usually presents with painless gradual swelling in the scrotum. These types of benign mesotheliomas typically occur in the peritoneum and usually affect young to middle-aged patients. We present in this case an unusual case of benign cystic mesothelioma of the tunica vaginalis in a 77-year-old male patient.

The occurrence of pneumomediastinum and subcutaneous cervical emphysema as complications of childhood pneumonia is very unusual. They results most often from respiratory manoeuvres that produce high intrathoracic pressure. Although they are largely benign, pneumomediastinum can cause compression of major blood vessels in the mediastinum resulting in life threatening complications. Therefore, ad...

Lichen scrofulosorum is a rare form of tuberculid seen in children and young adults. The cutaneous lesions are typically symptomless papular eruptions, associated with a strong Mantoux reaction, tuberculosis of lymph nodes and/or other organs or rarely following BCG vaccination. We describe an unusual case of occurrence of lichen scrofulosorum following BCG immunotherapy in a patient with lepro...

Haemangiopericytomas (HPCs) are rare vascular tumours arising from pericytes, which are contractile cells that spiral around capillary walls. Therefore HPCs have a wide distribution in both soft tissue and skeletal system, with the latter being the most unusual occurrence. Sixty-three cases of osseous HPC have been reported in the available literature, only four of them located in the tibia (7,

Hemorrhagic infarction of the testicle is an unusual occurrence in the newborn infant. It usually develops as a consequence of torsion of the spermatic cord. We report a case of global testicular infarction in a newborn associated with a tense hydrocele.

The simultaneous occurrence of two rare conditions in a single patient is uncommon. We report the case of a patient with rectal actinomycosis covering an anorectal melanoma (both infrequent conditions), the last one being later recognized, only after surgical excision. We underline here the role of thinking "outside the box" when an unusual situation is experienced.