Introduction: Most colonic injuries are due to penetrating abdominal trauma. Colon injury rarely occurs after blunt abdominal trauma. Colonic trauma is usually associated with other intra-abdominal and extra-abdominal injuries. The low incidence of colon injury due to blunt abdominal trauma and the lack of a definitive diagnostic method for the same can lead to delays in diagnosis and treatment, subsequently resulting in high morbidity and mortality. Case presentation: a 25-years-old man who present after seven days of blunt abdominal trauma with clinical evidence of peritonitis, on laparotomy isolated sigmoid colon perforation was found which was managed with end colostomy. Conclusion: Isolated colon injury after blunt abdominal trauma is rare and difficult to diagnose. Delay in diagnosis increases the morbidity and mortality rates. Therefore it is important for the trauma surgeon to keep high index of suspicion colonic perforation, to facilitate its timely diagnosis and management.

Vascular malformation of the parotid gland is an extremely rare condition with very few reported cases in the literature. Here we report a case of a 55 years old, female who presented with the complaint of swelling in the right parotid region for one year. Imaging revealed a vascular malformation involving the superficial lobe of the right parotid gland. Superficial Parotidectomy was done and histopathology was consistent with the diagnosis of vascular malformation of the parotid.

Oil cysts of breast are rare benign breast disorders resulting from fat necrosis.  Oil cysts are rare mammographic findings encountered. Here, we describe a case of 35 years female with history of breast trauma who presented with a small breast lump which was later diagnosed as oil cyst.

Background: Anal fissure is one of the most common anorectal problem and presents as a tear in the anoderm distal to the dentate line. It is a common proctologic problem and accounts for 10-15% of proctological consultations and seen frequently in young and middle-aged patients. Presently wide range of medical and surgical treatment options were available. Present study was aimed to evaluate the therapeutic efficacy of 5% lignocaine ointment and a combination of 0.2% glyceryl trinitrate and 5% lignocaine in management of acute fissure in ano.Methods: In the present study, a total of 100 patients diagnosed with acute fissure in ano were randomly allocated into two groups (I, II) of 50 patients each and were managed by local application of 5% Lignocaine (LIG) ointment and a combination of both 0.2% Glyceryl trinitrate (NTG) and 5% Lignocaine (LIG) ointment respectively.Results: In the present study, the incidence of anal fissure was higher in males than in females with mean age of occurrence of 35.12 years. Pain was the most common symptom to present with. After six weeks, complete pain relief was seen in most of the patients and was comparable in both the groups but healing was superior in group II when compared to group I. Headache and dizziness were the side effects only noticed in group II.Conclusions: To conclude the study, we can say that the treatment of anal fissure is becoming increasingly medical as it can be carried out on outpatient basis and is cost effective and there is no loss of man hours. Lignocaine may be preferred as the first line treatment as there are no side effects and if there is failure to heal then we can prescribe the combination of both drugs owing to their risk benefit ratio.

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