Duodenal ulcer perforation is a common cause of peritonitis and is considered as one of the most catastrophic complication of duodenal ulcer. Medical management causes decrease rate of elective surgery for duodenal ulcer. However emergency operations for duodenal ulcer are on the rise. This study is aimed at comparing success rate between Omentopexy and omental plugging in emergency management of duodenal perforation. A prospective simple random study has been carried out for one year with 73patients. Omentopexy was done in 38 patients and 35 patients underwent omental plugging method. Omental plugging was associated with longer operative time but incidence of reperforation is less than Omentopexy. Mean hospital stay in Omentopexy group is higher than omental plugging group. Above all omental plugging is associated with less morbidity and mortality.

Fracture penis is a rare urological emergency. It commonly occurs during sexual intercourse. Unilateral injury of corpus cavernosa is common. We present a case of bilateral rupture of corpora cavernosa with complete rupture of urethra. It is very rare form of injury. Early surgery gives good result.

ABSTRACT:We report a case of primary echinococcosis of left kidney presenting with gross hydatiduria. Important diagnostic features are also discussed.