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The urachus is a tubular embryonic structure connecting the allantois at the umbilicus to the bladder during development of foetus. It gets obliterated at 12th week of gestation and remains as a fibrous cord like structure extending from the umbilicus to the dome of the bladder. Complete or partial failure of this process results in urachal anomalies. We are reporting a rare case of young lady presenting with features of dysuria and passage of jelly like material in urine which was subsequently diagnosed as vesicourachal diverticulum by cross sectional imaging, cystoscopy and managed with minimally invasive surgical excision.

We describe here a case of a 38-year-old lady presenting with a about 5x4cm in size swelling on the left labia majora. She had similar type of swelling 2 years back which was treated surgically. FNAC report of the present mass revealed angiomyxoma. In view of its’ recurrent nature wide local surgical excision of the mass was done. Histopathology report confirmed the diagnosis of angiomyxoma. The lady is under follow up and there is no further recurrence till date.

During routine dissection, variation in branching pattern of coeliac trunk has been observed in adult 54-year-old male cadaver. Instead of normal three branches an additional branch i.e., Left inferior phrenic artery originated from it as fourth branch. Then it divided into two branches, one directly supplied the diaphragm and other branch divided into three sub-branches. First and second branch entered into the left suprarenal gland at its upper and middle pole and third one finally terminated by supplying to the diaphragm. There is no separate middle suprarenal artery on the left side, but inferior suprarenal artery was as usual. No variations have been found on right side in the lateral branches of abdominal aorta. Such a quadrifurcation of celiac trunk to supply suprarenal gland is quiet unique so far searched in literature.