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Hepatic haemangioendothelioma is a rare (1:1,000,000) mesenchymal tumour of the liver of vascular origin. Metastatic malignancies, other primary liver tumours and cholangiocarcinomas all have significantly worse prognoses and may mimic hepatic haemangioendothelioma. Hence, careful pathological assessment with appropriate tumour markers and immunohistochemistry are essential. We present a rare case of recurrence of hepatic haemangioendothelioma after 10 years post-hemihepatectomy. Surgical approaches include liver resection, liver transplantation and ablative techniques with chemotherapy and radiotherapy reserved for patients where a surgical approach is not possible. Hepatic haemangioendothelioma has an unpredictable course that is generally indolent and it is associated with a significantly better long-term survival. Consequently, it is important that these tumours are recognised and the approach to the diagnosis should be methodical. Owing to the protracted course of the disease, a prolonged duration of surveillance and an aggressive approach towards disease recurrence are essential for long-term survival.

Endoscopic mucosal resection is commonly the treatment regime of choice for large sessile colonic polyps. We describe the computed tomography findings of a 51 year old female who presented with transient severe abdominal pain without systemic upset post endoscopic mucosal polyp resection, which resolved with conservative management. This is the second case in the literature that demonstrates 'normal' appearances post endoscopic mucosal resection. The clinical team and radiologist need to be aware of these findings when making management decisions in patients who present with acute pain post endoscopic mucosal resection.

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spread by way of the Fallopian tubes to the peritoneum, setting up peritonitis. Or it may be limited to the utero-vaginal canal. Celiotomy is not indicated in lymphatic peritonitis, as the morbid process is too widespread to be reached by operation. Celiotomy has been followed by a fatal result in cases of general puerperal peritonitis. The only ground for advising operation with such a diagnosis is the possibility that this may be erroneous. The prognosis is best when celiotomy is done for localized peritonitis, when the process has become well circumscribed and the element of sepsis eliminated ; in other words, when the case has resolved itself into one of pyosalpinx, abscess of the ovary, or of pelvic abscess of puerperal origin. The prognosis is good when cases of localized peritonitis are operated upon promptly, that is within two or three days of the beginning of the attack, or at about the end of the first week of the puerperium. Cases which have gone from bad to worse, and in which the operation is done as a last resort, usually terminate fatally. Hysterectomy is indicated for those cases in which the infection is limited to the utero-vaginal canal, when, in spite of thorough curettement of the uterus, together with copious irrigation of the utero-vaginal canal, and the employment of proper systemic treatment, the infectious process increases in severity. In dealing with the results of puerperal septicemia by operation, celiotomy affords the opportunity for satisfactory diagnosis and adequate treatment. The organs involved may be palpated or inspected, and when necessary the operation may be followed by irrigation and satisfactory drainage. The vaginal route for operation is indicated for large pus accumulations which are found late in the puerperium. LITERATURE.

That assuming he can differentiate between cases ; •can he, with the known serious nature of many-cases in which the Löffler bacillus is not present, afford to treat these as non-infectious when, as a matter of fact, they must have been caused by germs carried to the respiratory passage from the air or other medium in the same manner as the Löffler bacillus, and therefore infectious? Personally, from the standpoint of an executive •officer, I recognize most serious difficulties as cer¬ tain to arise from what all must agree is a notable addition to our knowledge of throat diseases. I do not at present recognize, for working health officers having to deal with sore throats with exudations, any other alternative than to continue to insist on the isolation of all cases of sore throat with exu¬

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