[Gout in the spine: a rare presentation of a common disorder].

A 92-year old woman was admitted to the geriatric department because of a confusional state due to a urinary tract infection, a severe dermatitis and gout. An incomplete tetraplegia was found on physical examination. Radiological examination showed a large gouty tophus causing spinal cord compression and destruction of the dens.

[A man with pain in epigastrio].

A 22-year-old man was admitted to the hospital with epigastric pain. At first the diagnosis 'pneumonia' was made, based on a chest X-ray. CT-thorax revealed herniation of the colon in a diaphragmatic rupture, which was caused by an old stab wound.