[A man with a rapidly growing tumor of the hand]. / Een man met een snel groeiende zwelling aan de vinger.

A 28-year-old man suffered a minor trauma from his fifth finger of the left hand. The small wound developed rapidly within weeks. A granoloma pyogenicum was diagnosed. This is a benign vascular tumor mostly resulting after minor trauma. Treatment is surgical removal of the lesion.

[Recognition of a tarsal coalition; clinical and radiological pointers]. / Herkenning van een tarsale coalitie: klinische en radiologische aanknopingspunten.

A 34-year-old female had been suffering from pain in her left ankle for more than 6 years. Physical examination revealed no abnormalities other than a rigid subtalar joint. Using a CT scan and an MRI scan the diagnosis tarsal coalition was established. This condition is a fairly frequent cause of ankle pain, with a prevalence of 1-2%. However, it is easily missed by treating physicians. In this article the clinical and radiological pointers for establishing the diagnosis are described, and information about the treatment of tarsal coalitions is provided.

[Chylous ascites]. / Chyleuze ascites.

A 49-year-old female presented in a casualty department with acute abdomen. The CT scan revealed an extensive build-up of peritoneal and retroperitoneal fluid. Laparotomy revealed chylous ascites in the abdominal cavity. The patient made a successful recovery following treatment with total parenteral nutrition. No cause of the chylous ascites was found. Extensive diagnostics are indicated in adults with chylous ascites without a history of surgery as the most common cause of the condition in this group is malignant lymphoma. Treatment is targeted at a good nutritional status, lowering chylous production and treating the underlying causes.