Introduction Angiomyofibroblastoma (AMFB) is a rare, benign, mesenchymal cell tumour which presents as a slow-growing mass. It is most commonly seen in the vulva and is often mistaken for Bartholin's abscess. It is histologically diagnosed by the presence of stromal cells intermingled with small blood vessels. It is morphologically similar to cellular angiofibroma and aggressive angiomyxoma, the latter of which is locally invasive and has a possibility of metastasis and a high risk of local recurrence. There is one reported case of an AMFB undergoing sarcomatous transformation. Case Report We report a case of a multiparous, 36-year-old woman with an anterior vaginal mass which was inappropriately treated as a vaginal prolapse prior to definitive surgical management. This is only the second reported case of an AMFB presenting as a prolapsing mass.

Article information:To cite this document: Harriet Calvert, (2011),"How do we help children and families in the midst of collective trauma in

Cameron continued trying to get me to swear allegiance, telling me it wasn't going to be anything bad or anything I might regret -it was just a promise. Seeing that I wouldn't capitulate, Cameron let out a frustrated ''aaaaaarrrggh!'' I told him that people need to know what they're promising. He told me that I was just promising I wasn't going to be a double-agent. I said that he wanted to know I wasn't going to betray him. Cameron agreed and said I wasn't going to break any of the rules, which he would explain to me next week. As a final bid, he said that he could only tell me the rules after the acclamation -something to do with a very secret password. Seeing that this wouldn't satisfy me, Cameron became even more frustrated but we ended laughing together -''Poor, poor Cameron, Karl's very annoying,'' I said. Cameron put the pouch carefully away, saying, it was ''unrippable'' and indestructible with its sellotape lining, but then turned it over and realised it could still be ripped. Clinical commentary by Harriet Calvert, child psychotherapist at Windsor and Maidenhead CAMHS

Purpose -Sri Lanka was subject to a civil war of almost 30 years' duration which was won militarily by the Sri Lankan army in May 2009. Sri Lanka was also seriously affected by the Asian tsunami in December 2004 which affected three-quarters of the country's coastline and caused considerable damage. In addition, in January 2011, the east of the country suffered from serious flooding. Many Sri Lankans have therefore lived through extremely difficult times. This paper seeks to briefly discuss some of the work undertaken by the UK: Sri Lanka Trauma Group (UKSLTG) over approximately 14 years.Design/methodology/approach -The author of this paper views well-being as multi-faceted, and sees psychological health as influenced by familial, community, spiritual, cultural, socio-political, and other factors. How an individual construes all these factors is likely to be important, particularly in the context of a civil war, a subsequent military victory by one side, and a recent return to peace. The ensuing legacy may be multi-layered, and affect individuals, families, groups, and the multiple communities that people are part of in any number of ways. The lessons learned by the UKSLTG through work in a range of contexts and with a variety of groups are discussed.Findings -The applicability of the knowledge and ideas generated through the work of the UKSLTG and their possible transferability to other contexts will also be briefly considered. The authors are not attempting to provide a definitive account of possible work but a description of what has been learned working in a war and post war situation.Originality/value -The paper highlights the importance of working in real partnership, of community engagement, and of the need to be flexible and prepared to discount original plans and to be open to doing things differently as circumstances dictate.