Article Table of Contents

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Volume 5

The authors report a case of giant inguinoscrotal hernia. Problems arise in management for both the patient and the surgeons because of the rarity of reported cases as there is no standard surgical procedure in place for their treatment. A literature review leads to a discussion of the various methods of surgical intervention described to overcome the dilemma of surgical...
(p 46-48, General surgery: 4 November 2005)
We report a case of Boerhaave’s syndrome in a previously fit 57-year-old lady with an aetiological association with a co-existing duodenal ulcer. We discuss the diagnostic difficulties presented by this case, the importance of prompt diagnosis and intervention, and the problems involved in the management that are highlighted in this case. This is an extremely rare but...
(p 42-45, Gastroenterology: 21 September 2005)
Electrical brain responses to words semantically related versus unrelated to their context were recorded in a coma patient on days 6 (Glasgow Coma Scale, GCS=6) and 22 (GCS=9). Significant differences between related and unrelated words (which were completely matched in their physical features) were consistently observed in both examinations. This is the first evidence...
(p 37-41, Neurology, Medical psychology, Critical care: September 2005)
We report a case where anal intercourse resulted in a jejuno-rectal stump fistula. This occurred in a 70-year lady who had undergone formation of ileal conduit and end colostomy earlier in the same year. Previous gynaecological surgery for cancer of the cervix, radiation and multiple surgical procedures for dyspareunia, urinary incontinence and vesico-rectal fistula were...
(p 34-36, Colorectal surgery: July 2005)
Metastatic involvement resulting in voice alteration may occur from vocal cord infiltration or recurrent laryngeal nerve involvement. We present a case of metastatic prostate adenocarcinoma to the left infrahyoid neck compressing the larynx resulting in hoarseness. A case report with one-year follow-up is presented. The patient is a 65-year-old male with hoarseness and a...
(p 28-33, Oncology, Ear, nose and throat: May 2005)
We report the case history of a 45-year-old woman who presented with symptoms of bilateral carpal tunnel syndrome 8 years after a successful surgical decompression of both tunnels.
(p 26-27, Endocrinology, General surgery: April 2005)
Paget’s disease of bone is more prevalent in populations of northern European origin and is thought to be rare in non-Caucasians. The population of the east end of London is multi-cultural with 45% from ethnic minorities. We report the case histories of eight non-Caucasian patients with Paget’s disease of bone.
(p 23-25, Rheumatology: April 2005)
We report a case of a 53-year-old man with a solitary nodular growth on the scalp in the right temporal region, noted during his hospital admission for bilateral knee replacement. A chest X-ray revealed a large circumscribed opacity in the left lung field. Bronchoscopy revealed a tumour at the carina. Histology of biopsies from the bronchoscopy and the scalp lesion showed...
(p 19-21, Respiratory medicine: April 2005)
Isolated Bauhinitis is a rare cause of non-specific abdominal symptoms in adults. Modern descriptions of the disease are lacking. We report two current cases with an overview of the literature and a discussion of the aetiology, clinical signs, diagnostic findings, and treatment guidelines. Colonoscopic and histological findings are used to diagnose the condition....
(p 15-18, Gastroenterology: March 2005)
A 67-year-old man with a lung mass developed a large painful chest wall swelling adjacent to a chest drainage tube site. The swelling occurred after a second chest drain was performed for a rapidly relapsing pleural effusion, and the biopsy showed that it was an adenocarcinoma. We conclude that chest wall tumour implantation was caused by the chest tube drainage of the...
(p 10-14, Respiratory medicine: March 2005)
Reactive arthritis following upper respiratory tract infections is well known. The usual age group is young adults and management of the arthritis with anti-inflammatory medication is the mainstay of treatment. We present a case of reactive arthritis following tonsillitis, which was successfully treated by tonsillectomy.
(p 8-9, Otolaryngology; rheumatology; general medicine: January 2005)
Percutaneous transluminal angioplasty is a very common procedure and it is considered quite a safe and effective technique. We present a case of a patient who developed acute occlusion of the aorta and iliac vessels following bilateral aortoiliac angioplasty. There have been cases reported of acute iliac and femoral occlusion following bilateral aortoiliac angioplasty but...
(p 4-7, Vascular surgery: January 2005)
A 44-year-old woman presented with poorly controlled asthma and nodular radiological changes. A VATS lung biopsy confirmed talc granulomatous disease possibly related to her previous work as a dental technician. A detailed occupational history is mandatory. Talc granulomatous disease is one important alternative diagnosis in poorly controlled asthma.
(p 1-3, Respiratory medicine; occupational medicine: January 2005)


Frank Cross
Consultant Vascular and General Surgeon
The London Clinic, UK


Neil Barnes
Consultant Physician
Barts Health NHS Trust, London, UK
Ali Jawad
Professor of Rheumatology
Barts Health NHS Trust, London, UK

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