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Ultrasonography-guided core-needle biopsy disclosed kind B1 to B2 thymoma, and total-thymectomy had been performed. Histopathologically, all of the cyst showed hyalinization and sclerosis, and slight signs of type AB thymoma were bought at the tumefaction's periphery. The individual had been diagnosed with ST. No proof of recurrence had been seen 12 months after surgery. DISCUSSION Since sclerosing thymoma is mostly consists of fibrous tissue, little specimens such as for instance needle biopsies do not consist of tumor mobile nests and are also tough to confirm. Complete resection happens to be the most frequent treatment for ST. Spontaneous regression of ST was reported; nonetheless, the components involved have not yet been elucidated. SUMMARY This rare situation of sclerosing thymoma is a unique instance as it features follow up information for an eight year duration because of the misdiagnosis of goiter. The follow up visits revealed significant regression associated with tumor over the eight year period with no treatment; however, the etiology of sclerosis and regression stay unknown. The patient was addressed by thymectomy with no recurrence after 12 months. INTRODUCTION Choledochal cyst originating from the cystic duct is a really rare case and hard to identify preoperatively, it's classified as Todani type VI choledochal cyst. Only three instances of type VI choledochal cyst are reported in the literature. PRESENTATION OF CASE A 35-year-old lady was included with an enlarged and palpable mass within the right top stomach. The initial stomach comparison CT scan and MRCP supported the presentation of Todani kind 1 choledochal cyst. Intraoperatively, we discovered an alternate analysis, it was 3-methyladenine inhibitor not type 1 but Todani kind VI choledochal cyst. We found a sizable cyst originating through the cystic duct, attached to the gallbladder, without the link with the intra or extrahepatic bile duct. The patient underwent simple cholecystectomy as well as excision of the cyst. After the followup for a few months, the in-patient was uneventfully cured. DISCUSSION Preoperative diagnosis of type VI choledochal cyst appears to be tough since it is a rare entity also it displays an ambiguous anatomic function. Most cases are misidentified as type I or II choledochal cyst before surgery. The diagnosis ended up being made intraoperatively. Preoperatively the definitive physiology is delineated by ERCP if there is any large suspicion. SUMMARY Preoperative diagnosis of type VI choledochal cyst may be difficult and requires detailed radiological evaluation and multidisciplinary discussion. The cystic duct orifice therefore the diameter regarding the common bile duct are essential to find out adequate management through the procedure. INTRODUCTION Meckel's diverticulum is the most common congenital anomaly of this small bowel. Typical problems concerning Meckel's diverticulum feature hemorrhage, intestinal obstruction, and inflammation. PRESENTATION OF CASE We present an unusual instance of a Meckel's diverticulum causing little bowel obstruction. A 50-year old male presented into the emergency division (ED) with vomiting, abdominal pain and distension. Computed tomography (CT) of the abdomen showed dilated small bowel loops consistent with a small bowel obstruction. The individual had been taken fully to the working theater for a laparotomy and had been found to have a transition point from a mesodiverticular adhesion causing upstream dilatation that has been circulated. The individual recovered with no postoperative problems and ended up being discharged home. DISCUSSION Meckel's diverticulum is the most common congenital anomaly of the tiny intestine. Diagnosis of Meckel's diverticulum is difficult to ensure preoperatively since many clients are asymptomatic. Regular problems of Meckel's diverticulum feature hemorrhage, intestinal obstruction, and infection, with abdominal obstruction becoming the 2nd most frequent problem. SUMMARY The problems of Meckel's diverticulum should be thought about by the treating clinician when you look at the differential analysis of little bowel obstruction. INTRODUCTION Rathke's cleft cysts (RCCs) tend to be harmless cystic lesions from the remnant cells regarding the craniopharyngeal duct within Rathke's pouch. Anticipation of these problem will help preparing the therapy program. PRESENTATION OF CASE We present a case of a 46-year-old male, regarded our tertiary center with a history of seizures, confusion and agitation when it comes to previous two months. After thorough investigations, he had been found having hyponatremia with reduced serum cortisol and hypothyroidism. After becoming sedated, intubated and stabilized, Magnetic Resonance Imaging (MRI) mind showed relatively medium to large sellar lesion which had been very dubious of a craniopharyngioma (CP). However, after carrying out an endoscopic transphenoidal surgical resection of this lesion, clinical diagnosis supported RCC. CONVERSATION The best remedy approach for CP is a complete surgical resection via a transphenoidal method. Thinking about the liquid part of RCC, it could be addressed with an even more conservative surgery and will not warrant a surgery as invasive as compared to CP. SUMMARY because of the mixed solid and cystic nature of CPs, it is possible to confuse it with RCC and the other way around. The provided case highlights that Rathke's cyst could be challenging with regards to pre-operative diagnosis, peri-surgical management and histopathological evaluation.