Search

The case history is presented of two patients with attacks of cherry-red urine after strenuous exercise. Both had varicosity of the long saphenous veins. Haemoglobinuria disappeared after crossectomy of the long saphenous vein and resection of the convolutes. After one and two years, they have no recurrence.

The case history is presented of a patient in whom the anterior tibial artery was clearly perforated by the distal pin of an external fixation device. This necessitated a dorsal pedis free flap instead of transposition of the flap to cover a degloved heel and sole. Review of the literature showed only a few case reports on vascular damage, suggesting that this complication is uncommon. In most cases, secondary erosion seems to be the cause, but as noticed by us direct arterial and/or venous damage is possible.

A painful subungual tumor in a digit with a cold intolerance is characteristic of a glomus tumor. Lack of recognition often unnecessarily delays therapy. Surgical excision, utilizing an operating microscope for identification of tumor vascularisation and tourniquet control is the therapy of choice. Multiple tumors may be present in the same digit. No malignant transformation of the tumor has been described.