BMJ Case Reports

Disseminated tuberculosis presenting as acute respiratory distress syndrome without recognisable miliary nodules on serial high-resolution CT

A woman in her 60s was admitted with prolonged fever and liver dysfunction. During the diagnostic work-up, she developed acute respiratory distress syndrome (ARDS) requiring mechanical ventilation.
BMJ Case Reports

Recurrent uterine torsion in consecutive pregnancies: a rare obstetric emergency requiring clinical vigilance

Uterine torsion in pregnancy is an exceptionally rare obstetric emergency. We present the unique case of a multiparous woman ...
BMJ Case Reports

Two-year outcomes and feedback after a parenting assessment is integrated into primary care

Some parenting practices (eg, physical punishment, yelling, threatening and humiliation), if used excessively, are associated ...
BMJ Case Reports

Pulmonary lymphangioleiomyomatosis: role of imaging

Pulmonary lymphangioleiomyomatosis (LAM) is a rare, progressive lung disease that primarily affects women of childbearing age. It is characterised by the abnormal proliferation of smooth muscle-like ...
BMJ Case Reports

Management challenges in recurrent episodes of gestational hypertriglyceridaemia

A woman in her late 30s was incidentally diagnosed with severe hypertriglyceridaemia at 30 weeks’ gestation, in the setting of multiple pregnancy-related complications including pulmonary embolism, ...
BMJ Case Reports

Oesophageal GIST in a young patient: Highlighting the crucial role of early detection

Gastrointestinal stromal tumours (GISTs) of the gastro-oesophageal (GE) junction are rare and often present diagnostic challenges. Our patient was a male in his early 30s presenting with upper ...
BMJ Case Reports

Venous thromboembolism in pregnancy associated with ovarian hyperstimulation syndrome and multiple thrombophilias

The risk of venous thromboembolism (VTE) is increased during pregnancy. Other clinical entities, such as ovarian hyperstimulation syndrome (OHSS) and thrombophilias, also lead to a higher risk of ...
BMJ Case Reports

Multistage management of lower cranial nerve schwannoma using an ultrasonic aspirator and microdebrider with reinforced gasket-seal CSF leak repair

Lower cranial nerve (LCN) schwannomas are rare, slow-growing tumours arising from cranial nerves IX–XII, and their deep location near the brainstem and jugular foramen makes complete resection ...
BMJ Case Reports

Caudal regression syndrome: utility and feasibility of 3D printing, and an ortho-plastic approach

Caudal regression syndrome (CRS) is a rare congenital condition characterised by agenesis of the lumbar spine and sacrum, with associated congenital multi-system abnormalities. We describe a case of ...
BMJ Case Reports

The ‘bag of worms’ lesion: plexiform neurofibroma with neurofibromatosis type I in a paediatric patient

A pre-school-aged boy presented with a large, progressive swelling of the right cheek causing facial asymmetry. Clinical examination and history were consistent with neurofibromatosis type 1 (NF1), as ...
BMJ Case Reports

Biopsy-proven parotid small cell carcinoma with absent primary on resection and contralateral nodal metastasis without regional nodal involvement

Small cell carcinoma (SmCC) of the parotid gland is an aggressive neuroendocrine malignancy with few reported cases. We present an elderly male with a painless, slow-growing parotid mass, ...
BMJ Case Reports

Late gastrointestinal metastases from breast cancer with phenotypic discordance in hormone receptor status

Breast cancer is characterised by its potential for recurrence after an extended latency period, with the gastrointestinal (GI) tract being an infrequent metastatic site. We report two cases of GI ...