Although dilated coronary arteries are uncommon in children, three cases are presented which, even more unusually, were not associated with Kawasaki's disease

ANYONE who has taken part in joint clinicopathological investigations will be aware of the discrepancies that often exist between the clinical and functional estimates of disease and the histopathological findings. In cardiovascular disease the pathologist encounters cases in which the morphological changes in the myocardium at necropsy are minimal, but the functional changes in life were gross...

Haemorrhoids are one of the commonest ailments that afflict mankind. It is difficult to find out the true incidence. Undoubtedly many people suffer from haemorrhoids and many more have some degree of the condition without symptoms. It is common to find haemorrhoids in symptomless patients and Buie (1960) reports an incidence of 52 per cent in a large series of unselected patients examined by pr...

opting out would negate much of the enterprise. The public must be told repeatedly about the likely consequences of the proposals, and the BMA council has launched this exercise. And negotiation must take place-and on equal terms, with flexibility and without the duress of a short timetable which owes more to political expediency than to the issues at stake. In the negotiations the BMA and the ...

Dear Editor Sir, the recent publication on hyperbilirubinemia and pelvicaliceal dilatation is very interesting. Akil et al concluded that “hyperbilirubinemia might not have a direct effect on outcome of the pelvicaliceal dilatation [1].” There were several problems on this work that limited the conclusion. The few subjects and no control of confounding factor (such as genetic disorders that can...

A case of intrapericardial aneurysmal dilatation of the left atrial appendage occurring in a young woman is described. The patient presented with recurrent arrhythmia, which on one occasion was documented to be a supraventricular tachyeardia. Routine chest x-ray revealed an abnormal configuration of the left heart border. A precordial scan with 1311-labeled albumin provided evidence that the ma...

Acute massive gastric dilatation is a rare event and though it can occur in a multitude of medical conditions, its pathogenesis is still debated. It leads almost invariably to gastric necrosis with or without perforation which calls for emergency surgical treatment. We present the case of a 22 year-old male patient of normal weight with acute massive gastric dilatation due to a binge eating epi...