Abdominal wall necrosis and disruption in seat belt injury

The seat belt has reduced mortality and morbidity caused by motor vehicle accidents. Nevertheless, the seat belt has been associated with multiple abdominal injuries. We present the case of a 31 year old male referred after he was involved in a high-speed motor vehicle accident. He was wearing a seat belt when he sustained injuries and bruising across the abdomen at the seat belt area. Clinical examination and Computerized Tomography were not helpful in early detection of intra-abdominal injuries. The presence of "seat belt sign" across the abdomen should increase the index of suspicion of the presence of serious intra-abdominal injuries

Juvenile hyaline fibromatosis with rapid tumour growth and ulceration

Juvenile hyaline fibromatosis is a disease characterised by multiple skin tumours, flexion contractures of the joints, hypertrophic gingiva, osteolytic hone lesions and perianal granulomas. The skin tumours may regress, but progressive tumour growth with or without ulceration, continuous development of new skin lesions with subsequent deformity is the characteristic course of this disorder. We describe a clinical case with rapid tumour growth and ulceration in a short time. Other features of the syndrome are discussed