Recurrent vaginal cuff dehiscence after surgery for endometriosis: a technique for laparoscopic repair with an omental flap.

Vaginal evisceration is a rare but severe complication after hysterectomy or colpotomy and is generally successfully repaired by reapproximating healthy tissue edges of the vagina. Recurrent vaginal cuff dehiscence is problematic especially in sexually active women. We describe two cases of recurrent vaginal cuff dehiscence.

[A pregnant woman with a blood vessel in the membrane].

In a 34-year-old woman with a dichorionic twin pregnancy, a velamentous insertion of the umbilical cord of the second twin was diagnosed with ultrasound. During caesarean section the second child was born within the membranes; the velamentous insertion was clearly visible.

Pellagra: a non-communicable disease of poverty.

Pellagra is a disease of poverty that is treatable but easily overlooked. The disease is caused by a deficiency of niacin and is clinically characterized by the triad of dermatitis, diarrhoea and dementia. We describe two cases of pellagra in a Malawian district hospital and discuss the pathogenesis, clinical manifestations and treatment of the disease.