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caused by Madurella Mycetomatis. Hence below elbow amputation of the left forearm was done followed by histopathological confirmation of the specimen for Mycetoma. The post operative follow up for 6 months showed no recurr ence. All the above 3 cases had Fluconazole 50 mg per day for 3 months postoperatively. DISCUSSION Mycetoma was first recognised as a clinical entity in Figure 2: Mycetoma of the left hand Madurai (South India) as madhura foot, but now it is known to be prevalent in other countries also. Foot continues to be the commonest site followed by the upper extremity.1 Involment of the perineum as the third in order of frequency and the fourth commonest site was scalp. The aetiological factors involved in causation are multiple in the form of thorn prick, trauma leading to ulceration, blunt trauma and the wicks. The clinical picture of Mycetoma is almost uniform irrespective of the causative fungi.2 Histology of Mycetoma has achieved a reasonably good standard in identification of species, that more sophisticated tests are not desired as a routine as they very cumbersome and time consuming and it is evident that Madurella Mycetomi is the prevalent fungus.3 Radiological examination was done in suspected cases of bone involement. The radical cure can be achieved by local excision followed by antifungal therapy for 3-6 months and by amputation of the af fected part, in case the bones were affected.