BMJ Case Reports

Vesicocutaneous fistula secondary to invasive bladder squamous cell carcinoma: an unusual initial presentation

We report a rare presentation of vesicocutaneous fistula associated with invasive squamous cell carcinoma. An elderly man presented with urinary leakage from an anterior abdominal wall wound and ...
casereports.bmj

Subarachnoid haemorrhage associated with septic cavernous sinus thrombosis secondary to odontogenic maxillary sinusitis

This case report describes a man in his 50 s who developed septic cavernous sinus thrombosis secondary to odontogenic ...
BMJ Case Reports

Multilevel thoracic ossification of the yellow ligament in a Cowden syndrome patient

We present an exceptionally rare case of a late 30 s female with a known history of Cowden syndrome who developed extensive thoracic ossification of the yellow ligament (OYL) causing severe spinal ...
BMJ Case Reports

Acute psychosis unmasking severe non-ischaemic cardiomyopathy with biventricular thrombosis and cardioembolic cerebral infarcts

A woman in her early 30s with major depressive disorder and generalised anxiety disorder presented with a 3- to 4-week history of progressive paranoia, auditory hallucinations and behavioural ...
BMJ Case Reports

Massive haemoptysis in a patient with right pulmonary artery atresia with contralateral pulmonary artery pseudoaneurysm: a therapeutic dilemma in collateral-dependent pulmonary ...

A woman in her 30s presented with recurrent massive haemoptysis and chronic respiratory symptoms, including fever, cough and breathlessness. She had previously received empirical anti-tubercular ...
BMJ Case Reports

Tuberculosis presenting as dual immune dysregulation: Evans syndrome and haemophagocytic lymphohistiocytosis

We report a case of a middle-aged man with no known comorbidities who presented with a 1-month history of fever, dry cough, weight loss and progressively worsening breathlessness. Initial ...
BMJ Case Reports

Rudimentary horn pregnancy mimicking tubal ectopic pregnancy: a diagnostic dilemma

Rudimentary horn pregnancy is a rare form of ectopic pregnancy associated with Müllerian duct anomalies and carries a high risk of uterine rupture and life-threatening haemorrhage. We report the case ...
BMJ Case Reports

Traumatic canalicular laceration and complex eyelid injury in a newborn delivered by forceps

We present a neonatal case of complex upper eyelid lacerations with canalicular injury following a forceps-assisted vaginal delivery. Mother’s insistence on vaginal delivery despite obstetric advice ...
BMJ Case Reports

Dysmorphic child with cone-shaped epiphyses: a diagnostic approach and novel trichorhinophalangeal syndrome gene variant

Trichorhinophalangeal syndrome (TRPS) is a very rare genetic disorder comprised of three recognised types, all characterised by short, deformed fingers with cone-shaped epiphyses (CSE) visible on ...
BMJ Case Reports

Rigid bronchoscopic bridge to lung isolation in an airway emergency in congenital lobar emphysema

Congenital lobar emphysema (CLE) presents unique anaesthetic challenges due to the risk of worsening hyperinflation with positive pressure ventilation. We describe an infant who developed rapid ...
BMJ Case Reports

Intrapulmonary percussive ventilation for the management of destroyed lung in Swyer–James–MacLeod syndrome

Swyer–James–MacLeod syndrome (SJMS) is a rare disorder resulting from post-infectious bronchiolitis obliterans following lower respiratory tract infection in childhood and may be complicated by ...
BMJ Case Reports

Topical crushed morphine tablets for dressing-related pain in a malignant fungating wound in a resource-limited palliative care setting

Malignant fungating wounds are often linked to severe dressing-related pain that may continue despite adequate systemic opioid treatment. Topical opioids have shown pain relief in small clinical ...