Although rates of paediatric poisoning seem to be lower in this particular rural setting, admission rates continue to be significantly higher than comparative urban figures. Further research and education is needed to gain a better understanding of this important public health topic.

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Brucellosis epididymo-orchitis (BEO) is extremely rare in non-endemic areas such as Australia. While epididymo-orchitis is relatively common in adolescent men, when presented with a significant travel history, consideration should be given to rare causes such as this. Here, we present a case of BEO in a young 18-year-old man who recently migrated from Greece, with symptoms of acute scrotal pain, swelling and persistent fever. Brucella melitensis was isolated in the blood culture and confirmed with PCR. We suspect transmission was related to ingestion of unpasteurised goat dairy products. He made a full recovery after 7 days of intravenous gentamicin and 6 weeks of oral doxycycline. BEO should be considered in those who present with acute scrotal pain and fever after a recent history of travel to or from a brucellosis- endemic area.

late complication from transvaginal hysterectomies which was definitively managed in a regional general surgical setting in conjunction with gynaecology. Previous case reports have demonstrated the possibility of laparoscopic reduction of eviscerated contents and closure of the defect. 7 Our case was performed via a laparotomy due to the anticipated difficulties of reducing the bowel and vault closure via a laparoscopic approach. Although rare, possible aetiologies included recent local trauma, malignancy and altered wound healing from prior pelvic radiation 7 as well as ulcerative vaginal lesions which were absent in this patient. Intraoperative assessment highlighted a significantly atrophic vagina and she was commenced on oestrogen pessaries post-operatively. It is suspected that the absence of vaginal oestrogen after menopause resulted in vaginal wall thinning and contributed to vaginal vault perforation after increased intra-abdominal pressure.