A "hard" neck lump.

We discuss a case of an asymptomatic cervical rib presenting as a hard neck lump in a 56-year-old woman. Cervical rib is a common condition associated with thoracic outlet syndrome. The diagnosis, investigation and management of this condition is an important differential diagnosis that an ENT surgeon should know in a patient presenting with a neck mass.

Spontaneous regression of Merkel cell carcinoma of the nose.

Background: Merkel Cell Carcinoma (MCC) is a rare neurendocrine tumor of cutaneous origin.

Methods And Results: A 79-year-old woman was seen with a neck lump and a lesion in the left nasal vestibule. Biopsy of the lesion revealed a primary neurendocrine MCC of the skin of the nasal vestibule with metastases to the cervical lymph nodes.

Clinical experience with a pumpless extracorporeal lung assist device.

We present three patients with respiratory failure in whom conventional mechanical lung ventilation resulted in unacceptably high levels of carbon dioxide, severe acidosis and high vasopressor requirements. A pumpless arteriovenous extracorporeal carbon dioxide removal device (Novalung) was inserted. Arterial carbon dioxide levels were reduced rapidly with a corresponding increase in pH, reduction in vasopressor requirements and reduction in inspiratory pressures.

Sclerosing epithelioid fibrosarcoma as a rare cause of ascites in a young man: a case report.

Introduction: Sclerosing epithelioid fibrosarcoma is a rare but distinct variant of fibrosarcoma that not only presents as a deep-seated mass on the limbs and neck but can also occur adjacent to the fascia or peritoneum, as well as the trunk and spine. We report the case of an intra-abdominal sclerosing epithelioid fibrosarcoma, which to best of the authors' knowledge has not been described previously. The patient discussed here developed lung metastases but is still alive 1-year post-diagnosis.

Bulimia and oesophageal foreign bodies.

Objectives: To demonstrate the importance of a detailed history when assessing patients with a repeated pattern of foreign body ingestion.

Case Report: A 19-year-old woman presented to our department following accidental ingestion of a teaspoon. On further questioning, she admitted to a habit of binge-eating followed by self-induced vomiting, in order to avoid weight gain; she blamed this behaviour on a stressful relationship with her partner.

Kikuchi-Fujimoto disease as a rare cause of fever of unknown origin in a septuagenarian.

We report the case of a 72-year patient presented with fever of unknown origin. Initial clinical and radiological findings suggested a diagnosis of lymphoma. However, subsequent histology revealed Kikuchi-Fujimoto disease (KFD).

Factors contributing to fecal incontinence in older people and outcome of routine management in home, hospital and nursing home settings.

Objective: Fecal loading, cognitive impairment, loose stools, functional disability, comorbidity and anorectal incontinence are recognized as factors contributing to loss of fecal continence in older adults. The objective of this project was to assess the relative distribution of these factors in a variety of settings along with the outcome of usual management.

Methods: One hundred and twenty adults aged 65 years and over with fecal incontinence recruited by convenience sampling from four different settings were studied.

Bilateral severe fibrinous anterior uveitis--an unusual complication of pamidronate therapy exacerbated by topical latanoprost.

Aim: The aim of this study was to report a case of severe bilateral fibrinous anterior uveitis following pamidronate therapy in a patient on latanoprost.

Methods: This study is presented as an interventional case report.

Results: Clinical examination showed bilateral severe fibrinous uveitis following an intravenous infusion of disodium pamidronate.

Follicular dendritic cell sarcoma: a rare tumor presenting as an abdominal mass.

Follicular dendritic cell (FDC) sarcoma is a rare and probably even underreported entity. Only approximately some 50 cases have been described in the literature, the majority of which had a lymph node origin. The authors report a case of FDC sarcoma arising within the soft tissues of the abdominal cavity.

Nitrofurantoin-induced lung- and hepatotoxicity.

We present the case of a patient referred to the gastroenterology service for investigation of abnormal liver function tests. She had been taking nitrofurantoin for 16 months as prophylaxis against urinary tract infections. CT scan showed evidence of lung pneumonitis and low attenuation in the liver parenchyma.

Bouveret's syndrome. Narrative review.

Obstruction at the level of the gastric outlet by a gallstone is defined as Bouveret's syndrome. It is an uncommon form of gallstone ileus. A single gallstone of at least 2.

Traumatic expulsive aniridia after phacoemulsification.

Blunt trauma is usually associated with severe ocular damage particularly in eyes following cataract surgery. Small, self-sealing incision cataract surgery is changing the pattern of presentation of such cases, with relatively favorable outcomes. We describe a case of blunt trauma following phacoemulsification leading to aniridia.

Delayed diagnosis of infarcted small bowel due to right-sided Bochdalek hernia.

We report a case of an adult patient with small bowel infarction, secondary to a strangulated Bochdalek hernia.