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Volume 6

In 1920 Walter Ellis Sistrunk described the classic operation of thyroglossal cyst excision including the central portion of the hyoid bone and a core of tissue around the thyroglossal tract to open into the oral cavity at the foramen caecum. We present this paper and discuss its relevance to current practice.
(p L1-L2, Landmark case report, Otolaryngology, Paediatric Surgery: 28 November 2006)
We report a case of persistent haemoptysis, initially investigated by chest physicians. An Ear, Nose and Throat (ENT) opinion was sought because no source for the bleeding could be found. On video-endoscopic examination of the trachea using a three chip digital camera system, a vascular lesion, possibly an arteriovenous malformation, was seen on the anterior tracheal wall...
(p 25-27, Radiology, Respiratory medicine: 21 September 2006)
Lymphangioma resulting from trauma has rarely been described in the upper limb. Following direct blunt trauma it has previously been reported in the head and neck region as well as the abdomen. We report a rare case of post-traumatic soft tissue cystic swelling within the flexor aspect of the forearm, which was shown to be a lymphangioma. We describe the clinical features...
(p 22-24, Trauma: 21 September 2006)
General surgeons may encounter endometriosis when extraperitoneal forms of the disease mimic a symptomatic inguinal hernia in premenopausal women. Diagnosis is often difficult, especially in the absence of menstrual symptoms, and is often made during surgical groin exploration. We present a case of extraperitoneal endometrioma simulating a symptomatic inguinal hernia and...
(p 18-21, General Surgery, Gynaecology: 20 July 2006)
Since the first description by Bartholin in 1740, 386 cases of aneurysms of the facial vasculature have been reported in the world literature. Of these, less than 200 were of the superficial temporal artery (STA) [1]. Such STA lesions are commonly pseudoaneurysms presenting within weeks of direct trauma. We present a case of STA pseudoaneurysm following a closed head...
(p 15-17, Vascular Surgery, Trauma: 25 May 2006)
We report the case of a 48-year-old woman with abdominal pain who was misdiagnosed with sigmoid volvulus, causing a delay in the correct diagnosis of caecal volvulus. The reasons for this misdiagnosis are explored, to bring attention to this common and potentially fatal error, and to the features and management of caecal volvulus.
(p 11-14, General surgery: 25 May 2006)
Penetrating traumatic laryngeal–pharyngeal injuries are relatively rare and traumatic injuries to the epiglottis are extremely rare. The incidence varies between countries. Most of these cases are dealt with by ear, nose and throat specialists, and trauma surgeons deal with such trauma when concomitant injury is present. In our institution laryngeal–pharyngeal trauma...
(p 8-10, Emergency medicine, Trauma: 25 May 2006)
VKH disease is an idiopathic chronic granulomatous inflammatory disorder. It has ophthalmic, neurological and cutaneous manifestations. The clinical picture is variable and dependent on the stage of presentation. We report on a patient who presented with a mixed picture of early and late onset symptoms with clinical findings of acute on chronic inflammation.
(p 4-7, Ophthalmology, Neurology: 1 May 2006)
We report a patient presenting with a seronegative polyarthritis who later developed pyoderma gangrenosum. The presumptive diagnosis was seronegative rheumatoid arthritis and associated pyoderma gangrenosum. However, the arthritis, although steroid responsive, did not respond to treatment with the usual DMARD therapies and appears to mirror the activity of the pyoderma...
(p 1-3, Rheumatology, Dermatology: 1 May 2006)


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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