Foreign body ingestion is quite common in pediatric population, and these cases are usually difficult to manage due to delay in diagnosis. Ingestion of multiple magnetic foreign bodies together is very dangerous and can lead to serious complications like bowel obstruction, fistula and even death. Urgent endoscopic retrieval followed by surgical exploration, if required remains the best approach for removing multiple ingested magnets, thus preventing further injury to the gastrointestinal tract. We report a case of a 2-year-old child who developed a gastrocolic fistula following the ingestion of multiple magnetic beads, which remained undiagnosed weeks after ingestion. Most of the magnetic beads were successfully retrieved endoscopically, however a few remained despite extensive search. Hence the patient underwent emergency laparotomy which showed a gastrocolic fistula, was subsequently repaired after removal of remaining magnetic beads remaining magnetic beads from the colon.

Background: Incisional hernia is the second most common type of hernia after inguinal hernia. It is a complication of abdominal surgery, reported in up to 11% of patients generally and in up to 20% of those who developed post operative wound infection. The list of predictive factors associated with development of incisional hernia is obesity, diabetes mellitus, steroid, smoking, old age, malnutrition, COPD and type of incision.Methods: This was a hospital based cross sectional observational study carried out from February 2018 - October 2019 in surgery department of Dr. B.R.A.M. Hospital Raipur C.G, with diagnosis of incisional hernia. Total 100 patients were included in the study.Results: In present study the mean age of study subjects was 47.27±13.16 years. Around two-third 64% were females. 40% of perforation and 35% of LSCS cases later develop to Incisional hernia.  Risk factors profile showed that 31% were alcoholic, 27% smokers, 48% pre-obese and 5% were obese. 36% were hypertensive, 48% diabetic, and 12% had constipation. 25% had prolonged cough, 35% had surgical site infection, 45% had anemia. Clinical presentation of study subjects showed that 63% had swelling, 33% had swelling and pain and 4% had obstruction.Conclusions: Incisional hernia is more common in female than males and in cases above the age of 45 years. It is more common in patients who underwent the previous surgery on an emergency basis especially in perforation and obstruction and LSCS cases. Risk factors associated with incisional hernia are smoker, alcoholic, obesity, hypertension, diabetes, constipation, prolong cough and anemia.

Initially considered to be a respiratory disease, COVID-19 is now recognized as a multisystem disease known to affect all the major organs, including the gastrointestinal system. Based on recent studies, coronavirus 2 causes dysregulation of multiple biological pathways, triggers an exaggerated immune response, and affects multiple organs. The gastrointestinal symptoms in COVID-19 are common but often overlooked. This is an observational study analyzing the clinical characteristics and outcomes of three COVID-19 patients aged 80-year, 75-year, 69-year presented to our institution from April 2021 to June 2021 and were diagnosed with COVID-19 and subsequently develop perforation peritonitis and gangreneos large bowel as a first presentation. All patients tested COVID-19 positive upon admission and received standard care.