Sister Mary Joseph Nodule (SMJN) is a cutaneous nodule resulting from metastasis of malignant tumors affecting the umbilicus; it had been reported in 0.7e10.4% of patients. This case report describes an 82-year-old male diagnosed with metastatic pancreatic adenocarcinoma and confi rmed by the biopsy of Sister Mary Joseph’s nodule.

A 50 year old woman presented at surgery on return from a holiday in Tanzania. She was complaining of multiple, small red, very itchy, lesions scattered round her waist line, on the inside of thighs and upper arms. She had been scratching these areas and there was now reddened skin, with lacerations on her thighs, seeping of the wounds and small patches of sepsis. On questioning she stated that her fl ight from Dar as Salaam had been delayed 24 hours and as local hotels were full, she had been forced to stay overnight in an insanitary and overcrowded hostel. On examination the lesions were typical of fl ea bites, with secondary bacterial infection.

The purpose of this presentation is to report the antenatal diagnosis and perinatal management of an amniotic band syndrome which occurred in the fetus of a pregnant 30-year-old Thai woman who presented at the gestational age of 21 weeks. Mother received regular antenatal care at the antenatal department in a hospital, and had no congenital disease or history of illness with genetic diseases. According to the obstetrician ultrasound examination to assess her gestational age and fetus abnormalities fi nding; right foot sole of the fetus was twisted inwards and there was a large amniotic band floating in the amniotic sac.

Cases of survival after a penetrating fi rearm injury to the head are very uncommon. In cases where the bullet does not exit the head, it can be lodged anywhere in the cavities of the skull leading to fatal consequences. This case report examines a rare case of a penetrating fi rearm injury to the face where the victim survived and the bullet was discovered to be lodged at the nasal roof. The victim of this case report is a 25-year-old Somalian lady and the bullet that penetrated her head entered through the right eye laterally and lodged into the midline of the nasal roof. The bullet was successfully removed endoscopically via right nostril without any complications.

A 21 year old man was complaining of pain in a toe with swelling, which was interfering with his walking. The lesion was itchy and nodular. He thought he had been bitten and the insect had left a bump and black mark on the skin. Over a few days, the lesion had shrunk in size, turned brown, and wrinkled. He had recently returned from a Caribbean holiday and had been swimming and walking bare foot on the sands.

Introduction: The aim of this clinical study was to evaluate the effect of different antibacterial combinations on the outcome of revascularization process in permanent anterior immature teeth.