Congenital hypertrophy of infantile pyloric stenosis (CHIPS) is an acquired condition where the thickened pyloric sphincter causes high grade gastric outlet obstruction. The incidence is higher in the West compared to the East. Over a 15 years period, there has only been a single case of pyloric stenosis in a patient of Caucasian descent in our local setting. A rare and interesting set of six weeks old male twins with CHIPS is reported. Both patients responded well to pyloromyotomy.

Spleno-gonadal fusion is a rare malformation consisting of an abnormal connection between the spleen and the gonad. Spleno-gonadal fusion has been classified into two types: continuous and discontinuous. The majority of the cases present as a scrotal mass, scrotal tenderness and for suspicion of testicular pathology. Some are incidental findings at the time of herniotomy or orchiodopexy. About 25% of the reported cases of continuous spleno-gonadal fusion have associated anomalies. None of these anomalies has been reported in the discontinuous spleno-gonadal fusion. An incidental case of discontinuous spleno-gonadal fusion in a three year old boy after a patent processus vaginalis ligation procedure is reported.