When Rarity Strikes: Documenting Spontaneous Cutaneous Endometriosis In The Mons Pubis Region This case report highlighted a rare instance of spontaneous cutaneous endometriosis in the mons pubis region, presenting significant diagnostic challenges. Endometriosis, characterised by the presence of endometrial-like tissue outside the uterus, can manifest in various atypical locations, complicating diagnosis and treatment. We detailed the case of a 37-year-old woman with a history of involuntary subfertility who experienced cyclic pain and a palpable mass in the right mons pubis correlated with her menstrual cycle. Unfortunately, there was a substantial delay in diagnosis, with an average interval of one year from symptom onset to surgical intervention. Surgical excision was ultimately performed, confirming the diagnosis of endometriosis through histopathological examination. This case underscores the necessity for clinicians to consider cutaneous endometriosis in differential diagnoses for women presenting with cyclical pain and masses. Prompt recognition and surgical intervention are crucial, as they can lead to effective treatment and resolution of symptoms, emphasising the importance of heightened awareness among healthcare providers regarding this condition.

Unprecedented incidences of dengue have been reported in Sri Lanka in recent years. The district of Batticaloa, which was devastated by the 2004 Asian tsunami, is one of the districts affected by dengue. One option to curtail this disease is to implement appropriate vector control measures. A nine-month study was carried out within the Batticaloa Municipal Council limit from April to December 2008. Larval collections were conducted fortnightly using conventional ovitraps for nine months covering the dry and wet seasons. Ovitraps (indoor and outdoor) were placed in 15 randomly selected houses. The collected larvae were brought to the laboratory and reared under laboratory conditions. The larval forms and emerged adults were identified on the basis of reported morphological descriptions. The identified adults of 2–3 d old were exposed to common insecticides following the WHO protocol. During the study period, a total of 10,685 Aedes aegypti and Ae. albopictus mosquitoes were collected, with the former constituting 57% of the total sample. Both species were collected from indoor and outdoor ovitraps, and their prevalence was recorded throughout the study period. A seasonal shift was observed in the density, with Ae. aegypti predominating during the dry season and Ae. albopictus during the wet season. Both species were highly resistant to 4% DDT and susceptible to 0.25% permethrin. The continuous presence of potential dengue vectors may have contributed to the dengue prevalence in the district. Since both species can oviposit in indoor and outdoor ovitraps, public awareness and participation should be promoted in the vector control programme of the Ministry of Health along with continuous vector surveillance.