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1.  Errata 
PMCID: PMC1963798
2.  Errata 
PMCID: PMC1963795
3.  e-Letters – new additions 
PMCID: PMC1963802
5.  Multiple Antenatally Diagnosed Foregut Duplication Cysts Excised and the Value of Thoracoscopy in Diagnosing Small Concurrent Cysts 
A case report of a female neonate referred with antenatally diagnosed cystic lesions within the right hemithorax and under the left hemidiaphragm is presented to highlight the ease with which these lesions can be resected in an asymptomatic post-natal infant with minimally invasive surgery. The diagnostic and cosmetic benefits of minimally invasive surgery are also demonstrated. While excising the documented thoracic cyst, another small cyst was identified adherent to the right main bronchus. An elective laparoscopic excision of the abdominal cyst was also successful. A brief review of the complications and treatment of foregut duplication cysts is detailed.
PMCID: PMC1963762  PMID: 17059707
Foregut duplication cysts; Antenatal ultrasonography; Video-assisted thoracoscopy; laparoscopy
6.  Laparoscopic Management of a Torted Appendix 
Torted appendices are a rare occurrence but should be considered when encountering a haemorrhagic congested appendix on laparoscopy. As adhesions are rarely present, laparoscopic excision is usually a feasible option.
PMCID: PMC1963757  PMID: 17059706
Laparoscopy; Torsion; Appendix; Appendicitis
7.  Metastatic Prostate Carcinoma Presenting as Supraclavicular Lymphadenopathy – Is it Unusual? 
Prostate carcinoma presenting initially as supraclavicular lymphadenopathy has been increasingly reported as an uncommon presentation of the disease. The diagnosis is often made on lymph node biopsy as these patients rarely undergo digital rectal examination or serum prostate-specific antigen level measurement as part of their initial investigations. A 74-year-old man presented with supraclavicular lymphadenopathy and subsequently deteriorated with severe shortness of breath associated with venous congestion of the head and neck. The diagnosis of metastatic prostate adenocarcinoma was made only after cervical lymph node biopsy. Following the diagnosis, he was confirmed as having an abnormal prostate on digital rectal examination and a raised serum prostate-specific antigen level. The authors propose that a digital rectal examination and a serum prostate specific antigen level be included in the initial investigation process of male patients with persistent supraclavicular lymphadenopathy. This would prevent delay in diagnosis, allow early intervention and decrease patient morbidity.
PMCID: PMC1963752  PMID: 17059705
Prostate carcinoma; Supraclavicular lymphadenopathy; Prostate-specific antigen
8.  Scoliosis Development in Identical Twins After Intercostal Thoracotomy for Pulmonary Artery Sling Correction 
We present a report on two monozygotic female twins who underwent a left-sided intercostal thoracotomy in the second month of life for pulmonary artery sling correction. Twenty-four years later, in adulthood, the identical twins had both developed right-sided thoracic scoliosis. No previous accounts of scoliosis development after intercostal thoracotomy for pulmonary artery sling correction have been reported.
PMCID: PMC1963748  PMID: 17059704
Scoliosis; Pulmonary artery sling; Thoracotomy
10.  Peristomal Varices – Life Threatening or Luminal? 
Bleeding from the edge of an ileostomy site is a common problem. In those who have undergone a proctocolectomy with ileostomy formation in conjunction with a risk of chronic liver disease (even with normal liver function tests), this may be due to peristomal varices. If this is the case, significant, difficult-to-control and potentially life-threatening bleeding is likely in the future and may require transfusion. Improvements in radiological imaging techniques can give quick, sensitive and specific information to diagnose and guide management in this group. In those patients with major bleeding episodes, an initial conservative management policy should be adopted with the knowledge that, if bleeding persists, propanolol therapy, portosystemic shunt insertion or even liver transplantation may be indicated.
PMCID: PMC1964700  PMID: 17002840
Peristomal varices; Major bleeding; Propanolol therapy; Portosystemic shunt
11.  Papillary Carcinoma in a Male Breast Cyst: A Diagnostic Challenge 
Intracystic papillary breast carcinoma is a rare form of non-invasive carcinoma with an excellent prognosis. It accounts for less than 0.5% of breast cancers. We report the case of a 75-year-old man presenting with a painless cystic lump in the right breast. Ultrasonography showed a cystic lesion and aspiration revealed blood-stained fluid with suspicion of malignancy. Excisional biopsy was necessary to confirm the diagnosis and also indicated that local treatment was adequate.
PMCID: PMC1964695  PMID: 17002839
Intracystic; Papillary carcinoma; Male breast cancer
12.  Surgical Excision of Metastatic Malignant Melanoma Involving the Tricuspid Valve 
An 83-year-old man presented with a large intracavitatory metastatic malignant melanoma, infiltrating the anterior leaflet of the tricuspid valve. The tumour was excised completely along with the anterior leaflet of the tricuspid valve which was replaced. The patient was well 2 months after surgery.
PMCID: PMC1964692  PMID: 17002838
Metastatic melanoma; tricuspid valve
13.  e-Letters – new additions 
PMCID: PMC1964683  PMID: 17002847
15.  Intubation of the Pericardial Sac 
A 22-year-old male was admitted to casualty with a penetrating injury to his left ventricle following a stabbing to his chest. Penetrating injuries to major organs that originate or pass through the relatively narrow mediastinal corridor may have catastrophic consequences with little in the way of external signs to indicate the severity of the injury. Clinically, patients with penetrating cardiac injuries may present with cardiac shock due to either volume loss or pericardial tamponade. However, expeditious recognition, resuscitation and surgical treatment of these injuries are imperative if one wishes to reduce their inherently high mortality. Simple methods in trauma resuscitation, often being carried out in less than optimum conditions, are vital in order to save an injured patient's life. Decompression of the pericardial sac by intubation is described as a new and relatively simple method in the initial resuscitation of a patient with sharp cardiac injury, prior to definitive surgery.
PMCID: PMC1964651  PMID: 16834846
Cardiac injury; Cardiothoracic trauma; Resuscitation methods; Pericaridial tamponade
16.  Erratum 
PMCID: PMC1964649
17.  Thymic Carcinoma – An Unusual Cause for Unilateral Breast Oedema 
An 83-year-old lady presented with oedema of the right breast with no focal masses and was found to have a tumour of thymic origin in the anterior mediastinum. We describe this interesting case along with a review of the causes of unilateral breast oedema.
PMCID: PMC1964642  PMID: 16834848
Breast oedema; Thymic carcinoma; Mammography
18.  Bilateral Congenital Absence of Internal Iliac Arteries, Prominent Lumbar Arteries, and a Ruptured Mycotic Aneurysm of the Abdominal Aorta 
A 46-year-old man was admitted for surgery on a ruptured mycotic abdominal aortic aneurysm. Emergency repair was performed, during which certain anomalies were noted. First, the bifurcation of the aorta was posterior to the left common iliac vein. Second there were no internal iliac arteries. Also, there were prominent lumbar arteries compensating for the absent internal iliac arteries bilaterally. This, we consider, is the first reported case of congenitally absent bilateral internal iliac arteries.
PMCID: PMC1964626  PMID: 16834843
Bilateral congenital absence of internal iliac arteries
19.  A Diverticular ‘Pain in the Bottom’ 
This is the case of a 40-year-old man with a gluteal abscess as the first presentation of diverticular disease. As well as the unusual site, imaging revealed the lack of a connective tract between the abscess and the abdominal cavity or retroperitoneum. In addition, a lack of gastrointestinal symptoms made this case very unusual. Hence, this highlights the need for a high index of clinical suspicion when the usual clinical pointers that guide to the diagnosis of diverticulitis are absent.
PMCID: PMC1964623  PMID: 16834842
Diverticular disease; Gluteal abscess
20.  Toe-Tourniquet Syndrome: A Diagnostic Dilemma! 
Strangulation of digits, the ‘toe-tourniquet’ syndrome needs prompt intervention as failure to recognise the condition can lead to ischaemia and loss of the appendage. It is a common condition though relatively under reported.1 Those who deal with children more frequently are aware of the condition but this is not the case for all medical practitioners and hence the diagnostic dilemma for accidental injury or child abuse arises.
We report this case to increase physician awareness of the syndrome, to highlight the importance of early release of the tourniquet and to avoid misinterpretation of the condition as child abuse.
PMCID: PMC1964618  PMID: 16834844
‘toe-tourniquet’ syndrome; child abuse; diagnostic dilemma
21.  Reconstruction in the Axilla with a Pedicled Pectoralis Minor Muscle Flap 
Covering large defects in the axillary fossa can be challenging because of its complex shape. A variety of local skin, fasciocutaneous and musculocutaneous flaps have been described, with a number of inherent advantages and disadvantages. The use of the pectoralis minor muscle as a pedicled transposition flap has been described for immediate reconstruction of the breast,1 anterior shoulder reconstruction2 and the treatment of bronchopleural fistula.3,4 We now describe the use of a pedicled pectoralis minor muscle flap for soft tissue coverage of the axillary contents after wide excision of the axilla. This has not been previously described.
PMCID: PMC1964614  PMID: 16834845
22.  A Radiological Diary of Gallstone Migration in a Patient with Acute Pancreatitis 
This case report is interesting in radiologically showing migration of stones from the gallbladder via the biliary tree and into the gastrointestinal tract.
PMCID: PMC1964609  PMID: 16834847
Radiology; Gallstone migration; Acute pancreatitis
24.  e-Letters – new additions 
PMCID: PMC1964615
25.  Erratum 
PMCID: PMC1963693

Results 1-25 (345)