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In the puzzle set by Richard Krysztopik the final diagnosis was emphysematous cystitis (see May issue, p. 247). Fourteen correct answers were received, the most favoured alternative diagnosis being caecal volvulus. The prizewinning entry, drawn from a hat, was from John Thurston (Dartford), to whom goes a copy of Robert Richardson's Larrey: Surgeon to Napoleon's Imperial Guard. The other thirteen who sent entirely correct answers were: R Basu (Southampton), A Bhattacharyya (Manchester), J Hopkins (Birmingham), J Houghton (Chester), A Huang (London), R Linton (London), M Long (Harlow), R Shaw (Leamington Spa), J Singleton (Salernes, France), R Sivakumar (London), D Stoker (Henley on Thames), T Terry (Leicester), S Ward (Stafford).