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SHOT data can be used to inform policy, improve standards and educate users on transfusion hazards.

The injuries sustained by skateboard riders vary from minor cuts and abrasions to fractures. This report describes a unique injury sustained by a young skateboard rider who was impaled on a metal rod. Literature review of over 1,254 skateboard injuries did not reveal any other instances of penetrating abdominal trauma.

hrs reported in the literature by Bostroem in~ i883 but it was Pommer, who in 1889 described in detail a ease which was associated with limb defects and other congenital abnormalities, no- tably mierognathia and anal atresia. It has been suggested that this teratologie syndrome of splenogonadal fusion, limb defects, and other Congenital abnormalities, which constitutes a subgroup of patients with splenogonadal fu- sion, be called the Pommer syndrome. Putschar and Manion in 1956 published the first detailed literature review of splenogonadal fusion in which details of 30 clinical eases and a classifi- cation system were discussed. Since their review was published the urologic and pediatric surgi- cal literature have contributed almost another 100 cases which have been mainly in the form of single ease reports with exceptionally, 2 and 3 cases described. Nevertheless, many of the re- ports conclude with the performance of an or- chieetomy, in the mistaken belief that this entity represents a malignant process. Thus it is vital that urologists, pediatric and general surgeons are aware of this condition and appreciate its benign nature.

An unusual case of acute extra-articular patellar dislocation is described in which the patella dislocated laterally, rotated 90 degrees about its vertical axis, and wedged against the lateral femoral condyle. Closed reduction in the emergency department failed and operative intervention was required.

Une observation tres rare: apres une collision entre 2 voitures, une jeune femme presente a la fois, une transsection de l'estomac due a la ceinture de securite et une fracture vertebrale. Reparation d'urgence de la lesion gastrique et bonne consolidation de la lesion vertebrale