Primary Malignant Jejunocolic Fistula: A Rare Presentation

Primary malignant fistulas of the gastro-intestinal tract are very rare. Usually they are secondary to diverticular disease, crohn'sgastric ulcer, lymphoma, post surgery etc. Here we have reported a very rare case of primary malignant fistula with primarylocated at recto-sigmoid junction, leading to a fistulous tract between the jejunum and sigmoid colon. We have briefed on thecourse of the disease, investigations done and management of the same.

Perineal Wounds - Worried?? - Stayfree

Introduction: Perineal wounds are difficult to manage as they need much frequent dressings at the hospital. Conventionaldressings are costlier and cause significant discomfort to the patient. Self-dressings using sanitary pads can be tried as analternative as they are hygienic, easily accessible, comfortable, and cost-effective.Materials and Methods: A total of 30 patients - 15 in conventional dressing and 15 in sanitary pad dressing compared in termsof compliance, comfort level, number of dressings required at hospital, cost, and return to work.Results: Patients with sanitary pad dressings were more comfortable with the method of dressing and had very less numberof dressings at the hospital. It was very much cost-effective and patients returned very early to work.Conclusion: Sanitary pad can be used as a good alternative to conventional gauze pad dressings.