Ensuring the penile glans is fully visible before incising the foreskin is a recommended step during male circumcision to avoid penile glans injury

@#The majority of ritual circumcisions for males in Malaysia are conducted in primary healthcare facilities. In a study in rural Kedah, 74% of circumcisions were conducted in private general practice clinics.1 Hospitals in Malaysia generally conduct circumcisions when there is a disease process to the penile foreskin, such as phimosis, paraphimosis, or recurrent posthitis

rare case of intussusception associated with metastasize small cell carcinoma of lung

Intussusception is common cause of bowel obstruction in the paediatric age group compared to the elderly population. Many times, The diagnosis may be difficult because of asymptomatic nature of this bowel disorder. We hereby describe the case of a 75-year-old male who presented with lethargy, weakness, loss of movement in the joints and was found to be anemic. The haemoglobin level was low so he was transfused with packed cells. On gastrointestinal [GI] endoscopy, upper GI bleed was observed. A mass was observed beyond ampulla at the 2[nd] and 3[rd] part of the duodenal junction. Computerized tomography [CT] scan also showed a mass at the head of pancreas and the lesion at the left lung. In view of persistent bleed, 'Whipple's procedure' was performed. Histopathological examination showed small cell carcinoma of the lungs with metastasis to the pancreas and the jejunum. We here discuss the case of intussusception with intestinal metastasis which presented with gastrointestinal bleeding