Metastatic vulval Crohn's disease and infliximab: a case report.

Background: Metastatic vulval Crohn's disease is uncommon, and diagnosis is frequently delayed. Topical therapy is often ineffective, and systemic immunosuppressive agents are required.

Case: A 32-year-old Caucasian female with known gastrointestinal Crohn's disease presented with a 7-year history of vulvitis.

Traumatic prepyloric transection: unusual injury in a child.

The diagnosis and management of a 14-year-old girl with isolated traumatic transection of the prepylorus after a motor vehicle accident are presented. Abdominal computed tomography was useful in the diagnosis of pneumoperitoneum associated with hollow viscous injury. Rapid diagnosis and surgical repair of this unusual injury resulted in an uncomplicated recovery.