ABSTRACT:Intussusception is the telescoping of the full thickness of the bowel wall into the distal segment. Here we present a rare case duodenoduodenal intussusception with symptoms of recurrent abdominal pain and vomiting since two years. Surgical excision remains the treatment of choice in such cases as done in ours with the histopathology confirming the lead point to be a benign tubulovillous adenoma. Intussusception in adults presents with vague abdominal symptoms, hence the diagnosis becomes a challenge. The diagnosis is usually confirmed with the help of a CT scan or at laparotomy in the event of an emergency.

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To compare the efficacy of calcium alginate dressings with betadine dressings in the management of non-malignant non-healing ulcers MATERIALS AND METHODS: The study was conducted on 60 patients with non-malignant non-healing ulcers in M.S. Ramaiah Medical Teaching Hospital between June 2 nd 2008 and July 31 st 2010. They were randomly divided into groups of 30. History was taken and relevant investigations done to rule out any focus of infection. All 60 patients were followed up for 6 months. Patients were assessed on many factors like size of ulcer, site, culture sensitivity of swab, co-morbidities. RESULT: There was similar improvement in both study groups with no complications in either. All parameters were comparable. CONCLUSION: Silver and calcium alginate wound dressings though more expensive have comparable efficacy compared to simple betadine dressings in the treatment of non-healing ulcers KEYWORDS: Chronic ulcers, silver calcium alginate INTRODUCTION: Chronic wounds, defined as wounds that fail to heal after three months, are an important cause of physical and emotional stress as well financial burden, especially in patients over the age of 60 years. It is major cause of morbidity in diabetics-around 700,000 amputations are performed annually in diabetics. In India, it is estimated that diabetic foot ulcers are responsible for 10% of hospital admissions and 40,000 legs are amputated annually due to diabetes. However studies show that with a multidisciplinary approach and an aggressive conservative management of diabetic foot ulcers, amputation can be avoided. Although many expensive solutions, ointments, granules and wound-care technologies are available, evidence suggests that none of these are more effective than meticulous wound care. Calcium alginate dressings have been in use for around 3 decades and have been used extensively