18,491 results match your criteria BMJ Case Reports [Journal]


Hemiazygos continuation of isolated left-sided inferior vena cava into persistent left superior vena cava: rare association of left isomerism.

BMJ Case Rep 2019 Apr 20;12(4). Epub 2019 Apr 20.

Cardiovascular Radiology and Endovascular Interventions, All India Institute of Medical Sciences, New Delhi, Delhi, India.

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http://dx.doi.org/10.1136/bcr-2019-230350DOI Listing

Septal bounce illustrated on coronary angiogram.

BMJ Case Rep 2019 Apr 20;12(4). Epub 2019 Apr 20.

Cardiology, All India Institute of Medical Sciences, New Delhi, India.

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http://dx.doi.org/10.1136/bcr-2019-230179DOI Listing

Head of the pancreas mass that turned out to be not a pancreatic cancer.

BMJ Case Rep 2019 Apr 20;12(4). Epub 2019 Apr 20.

Department of Internal Medicine, Tripler Army Medical Center, Honolulu, Hawaii, USA.

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http://dx.doi.org/10.1136/bcr-2019-230110DOI Listing

Perineal ulcer: a rare cause of extensive subcutaneous emphysema.

BMJ Case Rep 2019 Apr 20;12(4). Epub 2019 Apr 20.

Department of Internal Medicine, Saint Vincent Hospital, Worcester, MA, USA.

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http://dx.doi.org/10.1136/bcr-2019-229918DOI Listing
April 2019
1 Read

Crohn's disease initiated with extraintestinal features.

BMJ Case Rep 2019 Apr 20;12(4). Epub 2019 Apr 20.

Department of Oral Health Policy and Epidemiology, Harvard School of Dental Medicine, Boston, Massachusetts, USA.

Crohn's disease (CD) is a multifactorial, chronic immune-mediated disorder. The oral cavity is involved in 0.5% to 20% of the patients with CD. Read More

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http://dx.doi.org/10.1136/bcr-2019-229916DOI Listing
April 2019
1 Read

Prolapsing mass in the caecum: learning point for the colonoscopist.

BMJ Case Rep 2019 Apr 20;12(4). Epub 2019 Apr 20.

Colorectal Surgery, Royal Gwent Hospital, Newport, UK.

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http://dx.doi.org/10.1136/bcr-2019-229811DOI Listing

Simple and novel technique for fabrication of prosthetic vaginal dilators.

BMJ Case Rep 2019 Apr 20;12(4). Epub 2019 Apr 20.

Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, Jodhpur, Jodhpur, India.

Vaginal agenesis is one of the major congenital anomalies affecting women. Postoperative prosthetic vaginal dilators are indicated in patients treated surgically for vaginal agenesis. Although different dental materials such as acrylics and silicone-coated materials are used, addition silicones alone have never been used for the fabrication of prosthetic vaginal dilators. Read More

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http://dx.doi.org/10.1136/bcr-2019-229524DOI Listing

Male occult triple-negative breast cancer.

BMJ Case Rep 2019 Apr 20;12(4). Epub 2019 Apr 20.

Department of Surgery, Salmaniya Medical Complex, Manama, Bahrain.

Male breast cancer is a rare but important condition accounting for only 1% of breast cancer worldwide and less than 1% of all male malignancies. Occult male breast cancer is an extremely rare type of male breast cancer that manifests as axillary metastases without an identifiable breast lesion. We report a case of triple-negative occult male breast cancer who underwent modified radical mastectomy. Read More

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http://dx.doi.org/10.1136/bcr-2019-229482DOI Listing

Pleuroparenchymal fibroelastosis (PPFE) treated with lung transplantation and review of the literature.

BMJ Case Rep 2019 Apr 20;12(4). Epub 2019 Apr 20.

Department of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.

A 26-year-old woman presented with a 15-year history of non-progressive dyspnoea. Chest imaging showed bilateral apical pleural and parenchymal scarring, pleural thickening and bronchiectasis. Pulmonary function tests showed a moderate restrictive defect. Read More

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http://dx.doi.org/10.1136/bcr-2019-229402DOI Listing

Aberrant internal carotid artery in the middle ear: the duplication variant.

BMJ Case Rep 2019 Apr 20;12(4). Epub 2019 Apr 20.

Nicosia Otolaryngology Center, Nicosia, Cyprus.

Vascular variants concerning the internal carotid artery (ICA) at the skull base level are rare. Correct workup and diagnosis in case of suspicion of such a variant are important as it mimics glomus tumours and could complicate myringotomy or middle ear surgery. We report a case of a 39-year-old woman presented with a 6-month history of right pulsatile tinnitus and aural fullness. Read More

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http://dx.doi.org/10.1136/bcr-2018-228865DOI Listing

Hereditary segmental neurofibromatosis: a report of three cases in a family.

BMJ Case Rep 2019 Apr 20;12(4). Epub 2019 Apr 20.

Plastic Surgery, Himalayan Institute of Medical Sciences, Dehradun, Uttarakhand, India.

Hereditary segmental neurofibromatosis (SNF) is an extremely rare form of SNF with nine families reported till date. SNF is considered to be a result of mosaicism and hereditary transmission is possibly explained by increased susceptibility of mutations at neurofibromatosis gene loci. We report here three members of an Indian family with SNF. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22882
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http://dx.doi.org/10.1136/bcr-2018-228826DOI Listing
April 2019
1 Read

Cost of a delay.

BMJ Case Rep 2019 Apr 20;12(4). Epub 2019 Apr 20.

Department of Urology, King George Medical University, Lucknow, Uttar Pradesh, India.

Abandoning a renal transplant operation during a live-related transplant is a rare occurrence. We recently encountered a case of previously undiagnosed coarctation of aorta (CoA) in the recipient during surgery. This was diagnosed by the absence of femoral pulses, a Doppler scan showing monophasic flows bilaterally in the iliac arteries and a difference in the mean arterial pressure between the radial artery and iliac artery of 50 mm Hg. Read More

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http://dx.doi.org/10.1136/bcr-2018-228667DOI Listing

Splenic artery aneurysm in a patient of autosomal dominant polycystic kidney disease: beyond tenuous concomitance!

BMJ Case Rep 2019 Apr 20;12(4). Epub 2019 Apr 20.

Nephrology, Post Graduate Institute of Medical Education and Research, Chandigarh, Punjab, India.

Splenic artery aneurysm (SAA) is rare, with risk of rupture especially if diameter is >2 cm. It is usually asymptomatic and detected incidentally on imaging either in young pregnant women or elderly cirrhotic patients. Extracranial vascular abnormalities known to be associated with autosomal dominant polycystic kidney disease (ADPKD) include ascending aortic aneurysms, dissections of coronary and vertebral arteries and rarely SAA. Read More

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http://dx.doi.org/10.1136/bcr-2018-228552DOI Listing

Disease of the past re-emerging in modern Australian society.

BMJ Case Rep 2019 Apr 20;12(4). Epub 2019 Apr 20.

Department of Infectious Diseases, Blacktown Hospital, Blacktown, New South Wales, Australia.

A 28-year-old man with fever, atraumatic lower limb pain and rash was noted to have multiple areas of ecchymosis involving both lower limbs. He was anaemic and also had a grossly swollen left leg. Differential diagnoses of compartment syndrome, vascular tear, platelet and clotting factor disorders, vasculitis and myositis were ruled out. Read More

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http://dx.doi.org/10.1136/bcr-2018-228448DOI Listing

Complex encephalopathy arising from the combination of opioids and gabapentin.

BMJ Case Rep 2019 Apr 20;12(4). Epub 2019 Apr 20.

Allegiance Health, Jackson, Michigan, USA.

The interactions between opioids and gabapentin are more clinically relevant than ever. Prescriptions dispensed for gabapentin increased from 39 million in 2012 to 64 million in 2018 in the USA and are ever increasing. Authors present a challenging case of these interactions. Read More

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http://dx.doi.org/10.1136/bcr-2018-228354DOI Listing
April 2019
1 Read

Reversible uraemic encephalopathy.

BMJ Case Rep 2019 Apr 20;12(4). Epub 2019 Apr 20.

Neurology, All India Institute of Medical Sciences, New Delhi, India.

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http://dx.doi.org/10.1136/bcr-2018-228261DOI Listing

Deceptively asymptomatic cryptococcaemia in a renal transplant recipient: the lull before a storm.

BMJ Case Rep 2019 Apr 20;12(4). Epub 2019 Apr 20.

Nephrology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

Cryptococcal infection constitutes around 3% of opportunistic infections in solid organ transplant recipients. Most common organ affected in renal transplant recipients (RTRs) is central nervous system and usually presents with chronic meningoencephalitis (CME). Ischaemic stroke as a consequence of cryptococcal meningoencephalitisis rare and possibly due to the involvement of intracranial vessel by exudates causing vasculitis-related thrombosis. Read More

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http://dx.doi.org/10.1136/bcr-2018-228115DOI Listing

Is ivabradine a wonder drug for atypical POTS?

BMJ Case Rep 2019 Apr 20;12(4). Epub 2019 Apr 20.

Internal Medicine, Abington Hospital - Jefferson Health, Abington, PA, USA.

Syncope is a sudden loss and gain of consciousness. Traditionally, it is caused by the abnormalities of neurological, cardiac or vasovagal systems. We present a case of a 19-year-old woman presenting with recurrent syncopal episodes with no apparent cause. Read More

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http://dx.doi.org/10.1136/bcr-2018-227789DOI Listing

MDS with 5q deletion and rare positive mastocytosis: a diagnostic and therapeutic challenge.

BMJ Case Rep 2019 Apr 20;12(4). Epub 2019 Apr 20.

Department of Hematology and Medical Oncology, Oakland University William Beaumont School of Medicine, Royal Oak, Michigan, USA.

A patient with a diagnosis of myelodysplastic syndrome (MDS) with isolated 5q deletion underwent repeat bone marrow biopsy to assess haematological response after 6 months of initial lenalidomide therapy. Subsequent bone marrow biopsies revealed persistent MDS with del(5q) in addition to a small atypical mast cell population with >25% of mast cells with spindle-shaped morphology and immunohistochemistry characteristics consistent with mastocytosis. Molecular testing on the bone marrow was positive for D816V and the patient was diagnosed with systemic mastocytosis (SM) with an associated haematological neoplasm. Read More

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http://dx.doi.org/10.1136/bcr-2018-227768DOI Listing

Loeffler's endocarditis with isolated left ventricular involvement on cardiac MRI.

BMJ Case Rep 2019 Apr 20;12(4). Epub 2019 Apr 20.

Department of Cardiovascular Radiology and Endovascular Interventions, All India Institute of Medical Sciences, New Delhi, Delhi, India.

Loeffler endocarditis is an uncommon restrictive cardiomyopathy associated with eosinophilia and endomyocardial fibrosis causing diastolic restriction, predominantly involving the right ventricle. Cardiac MRI plays a crucial role in early detection of disease. Early disease usually responds well to corticosteroids. Read More

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http://dx.doi.org/10.1136/bcr-2018-227642DOI Listing

Hunter syndrome with persistent thrombocytopenia.

BMJ Case Rep 2019 Apr 20;12(4). Epub 2019 Apr 20.

Department of Pediatrics, APC, PGIMER, Chandigarh, India.

A case of Hunter syndrome, 6½-year-old boy presented with persistent thrombocytopenia and bleeding diathesis. However, cytopenia is not a usual presentation in patients with mucopolysaccharidosis II. After ruling out other causes of severe thrombocytopenia, a clinical possibility of chronic Epstein-Barr virus (EBV) infection was considered. Read More

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http://dx.doi.org/10.1136/bcr-2018-226518DOI Listing

Postsurgical peritoneal inclusion cyst masquerading as a large pelvic mass.

Authors:
Nigel Pereira

BMJ Case Rep 2019 Apr 16;12(4). Epub 2019 Apr 16.

The Ronald O Perelman and Claudia Cohen Center for Reproductive Medicine, Weill Cornell Medical College, New York City, New York, USA.

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http://dx.doi.org/10.1136/bcr-2019-230066DOI Listing

Man with epigastric pain and persistently elevated serum lipase.

BMJ Case Rep 2019 Apr 16;12(4). Epub 2019 Apr 16.

Queensland Diabetes and Endocrine Centre, Mater Misericordiae Brisbane Ltd, South Brisbane, Queensland, Australia.

Serum lipase and amylase are commonly requested in individuals presenting with abdominal pain for investigation of acute pancreatitis. Pancreatic hyperenzymaemia is not specific for acute pancreatitis, occurring in many other pancreatic and non-pancreatic conditions. Where persistent elevation of serum lipase and amylase occurs in the absence of a diagnosed cause or evidence of laboratory assay interference, ongoing radiological assessment for pancreatic disease is required for 24 months before a diagnosis of benign pancreatic hyperenzymaemia can be made. Read More

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http://dx.doi.org/10.1136/bcr-2019-229208DOI Listing
April 2019
1 Read

Myopathy in a 61-year-old Hispanic man.

BMJ Case Rep 2019 Apr 16;12(4). Epub 2019 Apr 16.

Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA.

A 61-year-old Hispanic man presented to a county hospital for subacute progressive weakness, heliotrope rash and dysphagia. There was initial suspicion for dermatomyositis (DM) given the history; however, the physical exam was not consistent. An MRI followed by a muscle biopsy revealed necrotising autoimmune myositis and anti-3-hydroxy-3-methylglutary-coenzyme A-reductase antibody titers returned positive; the patient was diagnosed with necrotising autoimmune myositis. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22889
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http://dx.doi.org/10.1136/bcr-2018-228892DOI Listing
April 2019
2 Reads

Chronic cough and cystic lung disease caused by in a patient with AIDS.

BMJ Case Rep 2019 Apr 16;12(4). Epub 2019 Apr 16.

Pulmonary and Critical Care Medicine, University of Maryland Medical Center, Baltimore, Maryland, USA.

A 24-year-old man with a history of HIV and large B cell lymphoma (currently in remission) presented with fever, dry cough and dizziness. His CD4+ count was undetectable, and the HIV viral load was 109 295 cop/mL. Physical examination revealed fever, hypotension and tachycardia with coarse breath sounds in the middle and lower chest zones bilaterally. Read More

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http://dx.doi.org/10.1136/bcr-2018-228741DOI Listing

Severe rhabdomyolysis related to oxaliplatin adjuvant therapy for colorectal cancer.

BMJ Case Rep 2019 Apr 16;12(4). Epub 2019 Apr 16.

Medical Oncology, Hospital de São Francisco Xavier, Lisbon, Lisbon, Portugal.

Colorectal cancer is the third most common cancer in men and the second in women. The standard chemotherapy regiment in stage III colon cancer is based in oxaliplatin. The most common side effects include neutropenia, peripheral neuropathy, vomiting and diarrhoea. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22867
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http://dx.doi.org/10.1136/bcr-2018-228673DOI Listing
April 2019
1 Read

Barbiturate-induced dyskalaemia in patients with traumatic brain injury patient.

BMJ Case Rep 2019 Apr 16;12(4). Epub 2019 Apr 16.

Nerancy Neuro-Intensive Care Unit, University of Virginia, Charlottesville, Virginia, USA.

A young man with severe traumatic brain injury and refractory intracranial hypertension was treated with a barbiturate coma. A rare side effect of barbiturates is dyskalaemia. The dyskalaemia presented with acute hypokalaemia that quickly became hyperkalaemia. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22811
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http://dx.doi.org/10.1136/bcr-2018-228119DOI Listing
April 2019
1 Read

Dorsally exophytic glioblastoma of the pons.

BMJ Case Rep 2019 Apr 16;12(4). Epub 2019 Apr 16.

Departamento de Especialidades Cirúrgicas, Universidade Federal do Rio de Janeiro Hospital Universitario Clementino Fraga Filho, Rio de Janeiro, Brazil.

Brainstem gliomas are rare tumours in adults, accounting for only 1%-2% of all intracranial gliomas. They are recognised as a heterogeneous group, in which most are malignant tumours. Brainstem gliomas are classified into four major groups according to the growth pattern on imaging, namely diffuse, focal, exophytic and cervicomedullary. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22810
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http://dx.doi.org/10.1136/bcr-2018-228105DOI Listing
April 2019
2 Reads

Acute airway obstruction due to benign multinodular goitre.

BMJ Case Rep 2019 Apr 16;12(4). Epub 2019 Apr 16.

Internal Medicine, Centro Hospitalar e Universitario de Coimbra EPE, Coimbra, Portugal.

Benign multinodular goitre is a common illness. When accompanied by obstructive symptoms, such as dyspnoea, it carries an indication for surgery. Benign multinodular goitres rarely cause acute airway obstruction. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22809
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http://dx.doi.org/10.1136/bcr-2018-228095DOI Listing
April 2019
4 Reads

Isolated pontine involvement in posterior reversible encephalopathy syndrome with coincidental acute ischaemic stroke.

BMJ Case Rep 2019 Apr 16;12(4). Epub 2019 Apr 16.

DMOP, Basildon University Hospital, Basildon, Essex, UK.

Posterior reversible encephalopathy syndrome (PRES) is a cliniconeuroradiological syndrome characterised by a unique reversible pattern on imaging and total regression of clinical symptoms and signs. We describe an unusual case of PRES with isolated pontine involvement with coincidental acute ischaemic stroke in a 60-year-old man who presented with headache, unsteadiness of gait, blurred vision and elevated blood pressure. MRI scan revealed an expanded pons with diffuse T2 and Fluid attenuated Inversion Recovery (FLAIR) hyperintensities and an acute infarct in the right temporal lobe. Read More

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http://dx.doi.org/10.1136/bcr-2018-227132DOI Listing
April 2019
1 Read

Missed caterpillar cilia in the eye: cause for ongoing ocular inflammation.

BMJ Case Rep 2019 Apr 15;12(4). Epub 2019 Apr 15.

Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, New Delhi, Delhi, India.

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2019-23027
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http://dx.doi.org/10.1136/bcr-2019-230275DOI Listing
April 2019
1 Read

Nephrotic range proteinuria and metabolic alkalosis in Takayasu arteritis.

BMJ Case Rep 2019 Apr 15;12(4). Epub 2019 Apr 15.

Department of Internal Medicine, Okinawa Chubu Hospital, Uruma, Japan.

Nephrotic range proteinuria and metabolic alkalosis are unusual findings in large vessel vasculitis. In this case, renovascular hypertension with unilateral renal artery stenosis in Takayasu arteritis was complicated by nephrotic range proteinuria. Symptoms resolved after angioplasty, although non-nephrotic proteinuria persisted. Read More

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http://dx.doi.org/10.1136/bcr-2018-228637DOI Listing
April 2019
1 Read

Peritoneal encapsulation: a rare cause of small bowel obstruction.

BMJ Case Rep 2019 Apr 15;12(4). Epub 2019 Apr 15.

Department of Surgery, Milton S Hershey Medical Center, Hershey, Pennsylvania, USA.

Peritoneal encapsulation syndrome (PES) is a rare cause of small bowel obstruction (SBO) in patients with no prior history of abdominal surgery. First described by Cleland in 1868, PES is a congenital condition characterised by small bowel encasement in an accessory, but otherwise normal peritoneal membrane. A result of abnormal rotation of the midgut during early development, the condition causes fibrous encapsulation of the intestines, thus preventing bowel distention. Read More

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http://dx.doi.org/10.1136/bcr-2018-228594DOI Listing
April 2019
1 Read

Anti--methyl-d-aspartate receptor encephalitis in an older patient presenting with a rapid onset of delusions and amnesia.

BMJ Case Rep 2019 Apr 15;12(4). Epub 2019 Apr 15.

Clinic for Geriatric Psychiatry, Psychiatric University Clinic, Zurich, Switzerland.

We present the case of a 77-year-old patient with a rapid onset of delusions, amnesia, agitation, insomnia and no previous psychiatric history, who was diagnosed with anti--methyl-d-aspartate receptor encephalitis. This case report highlights the importance of including autoimmune encephalitis in the differential diagnosis of older patients presenting with rapid onset psychiatric episodes. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22851
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http://dx.doi.org/10.1136/bcr-2018-228512DOI Listing
April 2019
1 Read

Portal pyaemia secondary to colonic perforation.

BMJ Case Rep 2019 Apr 15;12(4). Epub 2019 Apr 15.

Department of Hepatopancreaticobiliary Surgery, Cambridge University Hospital, Cambridge, Cambridgeshire, UK.

Portal pyaemia or pylephlebitis is a form of septic (often suppurative) thrombophlebitis of the portal venous system. It may develop as a complication of intra-abdominal sepsis, such as diverticulitis or appendicitis. Patients typically present with a high fever that is sometimes accompanied by jaundice. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22840
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http://dx.doi.org/10.1136/bcr-2018-228400DOI Listing
April 2019
2 Reads

Dysautonomia and hyponatraemia as harbingers of Guillain-Barre syndrome.

BMJ Case Rep 2019 Apr 15;12(4). Epub 2019 Apr 15.

Department of Critical Care, Jaslok Hospital and Research Centre, Mumbai, Maharashtra, India.

A 56-year-old woman with a medical history of hypertension presented to our hospital with back pain, abdominal pain, vomiting and elevated blood pressure. The laboratory parameters including evaluation for secondary hypertension were within normal ranges at the time of presentation. During her hospitalisation, fluctuations in her blood pressure and pulse were observed which were attributed to autonomic disturbances, the cause of which was unknown. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22692
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http://dx.doi.org/10.1136/bcr-2018-226925DOI Listing
April 2019
3 Reads

as a cause of acute CNS infection in an immune-competent girl undergoing repeated VP shunt surgeries.

BMJ Case Rep 2019 Apr 15;12(4). Epub 2019 Apr 15.

Department of Microbiology, All India Institute of Medical Sciences, New Delhi, India.

We present the case of a 14-year-old immune-competent girl with ventriculoperitoneal shunt who was repeatedly hospitalised with meningeal signs despite repeated shunt revision surgeries. Eventually was isolated and the patient improved after specific treatment. is a rapidly growing, non-tuberculous mycobacterium (NTM). Read More

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http://dx.doi.org/10.1136/bcr-2018-226900DOI Listing
April 2019
1 Read

End of the line: central venous catheter mishap.

BMJ Case Rep 2019 Apr 14;12(4). Epub 2019 Apr 14.

Department of Internal Medicine, Texas Tech University Health Sciences Center at Permian Basin, Odessa, Texas, USA.

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http://dx.doi.org/10.1136/bcr-2019-230170DOI Listing

Pituitary stalk interruption syndrome.

BMJ Case Rep 2019 Apr 14;12(4). Epub 2019 Apr 14.

Department of Internal Medicine, University of Mississippi Medical Center, Jackson, Mississippi, USA.

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http://dx.doi.org/10.1136/bcr-2019-230133DOI Listing

Spontaneous reattachment of total exudative retinal detachment in Coats' disease.

BMJ Case Rep 2019 Apr 14;12(4). Epub 2019 Apr 14.

Vitreoretina and Uveitis Services, L V Prasad Eye Institute, Visakhapatnam, Andhra Pradesh, India.

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http://dx.doi.org/10.1136/bcr-2019-229913DOI Listing
April 2019
1 Read

Ceftriaxone-induced leucocytoclastic vasculitis.

BMJ Case Rep 2019 Apr 14;12(4). Epub 2019 Apr 14.

Division of Allergy and Clinical Immunology, Department of Medicine, East Tennessee State University James H Quillen College of Medicine, Johnson City, Tennessee, USA.

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http://dx.doi.org/10.1136/bcr-2019-229411DOI Listing

Knee sliced open by skate blade: complete patellar tendon rupture in an elite long track speed skater.

BMJ Case Rep 2019 Apr 14;12(4). Epub 2019 Apr 14.

Orthopaedic Department, Baerum Hospital, Vestre Viken Hospital Trust, Akershus, Norway.

A long track speed skater sustained a deep horizontal cut to the right knee just distally to the patella, after he got hit by the skate blade of the pair mate. The injury included a complete patellar tendon rupture from the apex of the patella, a 1 mm deep transverse cut in the femoral condyle and a partial rupture of the anterior cruciate ligament. The tendon rupture was repaired with transosseous suture repair without augmentation. Read More

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http://dx.doi.org/10.1136/bcr-2018-228611DOI Listing
April 2019
1 Read

Osteomyelitis in limb amputated by amniotic band sequence.

BMJ Case Rep 2019 Apr 14;12(4). Epub 2019 Apr 14.

Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.

A preterm (30 week) neonate with below-knee amputation (right lower limb), constriction rings and syndactyly, subsequent to amniotic band sequence, developed pus discharge from the right tibial stump. The neonate did not have clinical features of systemic sepsis. Blood culture was sterile. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22858
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http://dx.doi.org/10.1136/bcr-2018-228588DOI Listing
April 2019
2 Reads

Third distant recurrence of benign thymoma in a patient with myasthenia gravis.

BMJ Case Rep 2019 Apr 14;12(4). Epub 2019 Apr 14.

Thoracic Surgery, Albany Medical Center Hospital, Albany, New York, USA.

Myasthenia gravis (MG) is an autoimmune disease where antibodies attack the presynaptic terminals at the neuromuscular junction causing progressive weakness. Associated with thymomas, resection can improve symptoms. A 29-year-old woman with MG who underwent two previous thymectomies, at ages 11 and 15 presented 14 years later with recurrent MG symptoms and an anterior mediastinal mass. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22852
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http://dx.doi.org/10.1136/bcr-2018-228529DOI Listing
April 2019
2 Reads

Neglected doughnut pessary in the uterine cavity.

BMJ Case Rep 2019 Apr 14;12(4). Epub 2019 Apr 14.

Department of Obstetrics and Gynaecology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.

Vaginal pessary is a practical and effective tool for pelvic organ prolapse management. Nevertheless, serious complications can occur in neglected patients such as vesicovaginal and rectovaginal fistula, erosion and impaction in adjacent structures. We report a case of neglected pessary found in the uterine cavity. Read More

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http://dx.doi.org/10.1136/bcr-2018-228415DOI Listing
April 2019
1 Read

Isolated intermittent neurogenic priapism: an unusual presentation in degenerative lumbar spinal stenosis.

BMJ Case Rep 2019 Apr 14;12(4). Epub 2019 Apr 14.

Division of Neurology, Department of Medicine, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Bangkok, Thailand.

Priapism is a relatively uncommon clinical presentation. The well-recognised causes are sickle cell anaemia and the use of medications, such as vasoactive erectile agents. Infrequently, it could be the result of lumbar spinal stenosis. Read More

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http://dx.doi.org/10.1136/bcr-2018-228107DOI Listing
April 2019
5 Reads

Trisomy 21 in both fetuses in a DCDA twin pregnancy.

BMJ Case Rep 2019 Apr 14;12(4). Epub 2019 Apr 14.

Obstetrics and Gynecology, National University Hospital, Singapore.

A woman's chances of having a child with Down syndrome increases with age. By age 40, the risk of conceiving a child with Down syndrome is about 1 in 100. We report a rare case of dizygotic dichorionic diamniotic twin pregnancy conceived via in vitro fertilisation, with both twins having trisomy 21. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22760
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http://dx.doi.org/10.1136/bcr-2018-227608DOI Listing
April 2019
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IgG4-related disease in a patient with HIV infection.

BMJ Case Rep 2019 Apr 14;12(4). Epub 2019 Apr 14.

Internal Medicine, HIV Unit- IdiPAZ, Hospital Universitario La Paz, Madrid, Spain.

A 47-year-old HIV-positive man with good immune and virological status presented with chronic multiple enlarged lymph nodes, lung disease and eosinophilia. Radiologic tests showed enlarged cervical, thoracic and axillary lymph nodes, with interstitial lung damage. After several non-specific histologic studies, an elevated serum IgG4 level led us to request immunohistochemistry of a lymph node sample. Read More

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http://dx.doi.org/10.1136/bcr-2018-226809DOI Listing

Occlusion of a mural type vein of Galen malformation in a 10-month-old boy with three Woven EndoBridge (WEB 17) and two coils.

BMJ Case Rep 2019 Apr 14;12(4). Epub 2019 Apr 14.

Department of Diagnostic and Interventional Radiology and Neuroradiology, Universitätsklinikum Augsburg, Augsburg, Germany.

We report the case of a 10-month-old boy with an enlarged head circumference and severe motor developmental delay. MRI showed a vein of Galen malformation (VGAM) with a heavily dilated median prosencephalic vein. Digital subtraction angiography confirmed a mural type VGAM with three feeding arteries arising from the posterior cerebral arteries. Read More

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http://dx.doi.org/10.1136/bcr-2018-014652DOI Listing
April 2019
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