1,905 research outputs found
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Child or monk? An unpublished story attributed to John Moschos in MS Coislin 257
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The rhetoric of power and the voice of reason: tensions between central and local in the correspondence of Qurra ibn Sharīk
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'What remains behind': Hellenism and Romanitas in Christian Egypt after the Arab conquest
Colorectal cancer implant in an external hemorrhoidal skin tag.
External hemorrhoidal skin tags are generally benign. Colorectal cancer metastases to the squamous epithelium of perianal skin tags without other evidence of disseminated disease is a very rare finding. We present the case of a 61-year-old man with metastasis to an external hemorrhoidal skin tag from a midrectal primary adenocarcinoma. This case report highlights the importance of close examination of the anus during surgical planning for colorectal cancers. Abnormal findings of the perianal skin suggesting an implant or metastatic disease warrant biopsy, as distal spread and seeding can occur. In our patient, this finding appropriately changed surgical management
Not-so-minor injuries: delayed diagnosis of a large splinter
Introduction: In contrast with victims of major trauma, patients who suffer minor injuries receive little specialist input. In most cases, this causes no difficulty, but there are situations where minor trauma results in persistent disability affecting the quality of life. Case Presentation: A young man sustained a perineal puncture wound resulting from a fall onto a bush. Following an initial delay, he sought medical advice for a continual pain in his right leg, and a discharging perineal wound. A computed tomography (CT) scan and flexible sigmoidoscopy failed to identify the cause, and he was subsequently discharged from hospital. One year after his initial presentation, a magnetic resonance imaging (MRI) scan identified a retained foreign body consistent with a fragment of wood. Conclusions: Penetrating trauma from wooden fragments provides a diagnostic challenge. A stubborn discharge from a wound must always raise the suspicion of retained fragment. Early and appropriate surgical exploration is imperative
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Why did Coptic fail where Aramaic succeeded? Linguistic developments in Egypt and the Near East after the Arab conquest
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The desert and the city: the rhetoric of savagery and civilisation in early Byzantium
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