The New Zealand medical journal
-
Omental torsion is a rare cause of acute abdomen which often required surgical intervention. Preoperative diagnosis by clinical examination alone is almost never possible. Increasing use of CT is making it possible to diagnose this preoperatively. An adult male case is presented that highlights these points.
-
BACKGROUND Pacific mortality rates are traditionally presented for all Pacific people combined, yet there is likely heterogeneity between separate Pacific ethnic groups. We aimed to determine mortality rates for Samoan, Cook Island Māori, Tongan, and Niuean ethnic groups (living in New Zealand). METHODS We used New Zealand Census-Mortality Study (NZCMS) data for 2001-04, for 380,000 person years of follow-up of 0-74 year olds in the 2001-04 cohort for which there was complete data on sex, age, ethnicity (total counts), natality, and household income. ⋯ Our findings, in particular the elevated CVD mortality among Cook Island Māori, appeared robust. CONCLUSIONS To our knowledge, this project is the first time in New Zealand that clear (and marked in the case of CVD) differences in mortality have been demonstrated between different Pacific ethnic groups. Future health research and policy should, wherever possible and practicable, evaluate and incorporate heterogeneity of health status among Pacific people.
-
Rectus sheath haematoma (RSH) is an uncommon condition with a propensity for difficult and mistaken diagnosis. We describe a case where management was complicated by the patient's requirement for anticoagulation.