✓ A series of 50 fatal cases of craniospinal injury were reviewed with particular attention to the pathological findings at the craniospinal junction. There was marked tendency for the spinal cord to be damaged in the upper cervical segments, whereas disc injuries predominated in lower cervical segments. The vertebral artery was rarely involved. The lateral ligamentous structures were often damaged, while the transverse ligaments of the odontoid were spared. Rupture of muscles was rare, although hemorrhage into muscles was common.

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We report the rare occurrence of a small bowel perforation secondary to a metastatic cutaneous squamous cell carcinoma (cSCC). A 70-year-old woman, who had previously undergone renal transplantation, presented with severe, sudden-onset abdominal pain. She was peritonitic on initial examination, with evidence of free intra-abdominal air on radiographic imaging. During an exploratory laparotomy, she was found to have a perforated jejunum secondary to disseminated metastases seen throughout her peritoneum. Following histopathological analysis, as well as further imaging studies, the primary malignancy was eventually identified as a cSCC on her upper back. Palliative care was started and the patient died 8 weeks following her initial presentation.

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