[Volvulus of the small intestine, a rare complication during laxative period before colonoscopy]. / Dünndarmvolvulus: eine seltene Komplikation bei der Koloskopievorbereitung.

HISTORY AND CLINICAL FINDINGS: A 69-year-old patient was hospitalized 16 h after investigation of the colon (screening colonoscopy), suffering from abdominal pain, which had started during the laxative period the day before colonoscopy. INVESTIGATIONS: Clinical and technical investigations showed signs of a peritonitis. TREATMENT AND COURSE: By laparotomy a volvulus of the small intestine was found, caused by adhesions after appendectomy years before. A resection of a part of the small intestine got necessary, there were no problems during the postoperative course. CONCLUSIONS: If pain appears during the laxative period before colonoscopy, rare complications like volvulus of the small intestine should be considered.

[Medical correspondence]. / Der ärztliche Schriftverkehr.

This paper gives a short overview of the most relevant elements of medical records. It seems important to emphasise, that writing a letter to the family doctor has more meaning than simple documentation. It is a matter of communication, involving psychological and ethical requirements. Professional discretion, the right length of the letter, as well as focusing at the real important issues are further aspects of successful records.