BMJ Case Reports

Oxalate nephropathy from untreated pancreatic insufficiency in a neuroendocrine tumour patient

Pancreatic exocrine insufficiency (PEI) is an under-recognised cause of chronic diarrhoea in patients with neuroendocrine tumours (NETs). If left untreated or undertreated, PEI can lead to ...
BMJ Case Reports

Exploring haemoglobin Köln: a rare cause of pulse oximetry and arterial oxygen saturation discrepancy

Pulse oximetry guides the management of respiratory conditions through non-invasively monitoring arterial oxygen saturation. Unstable haemoglobin variants may produce inaccurate readings. We describe ...
BMJ Case Reports

Delayed diagnosis of recurrent embolic strokes from cardiac myxoma coexisting with antiphospholipid syndrome presenting as progressive cognitive decline

A woman in her 40s presented with progressive cognitive decline, expressive language difficulty and episodic confusion. Her initial symptoms were misattributed to psychiatric illness, and later to ...
BMJ Case Reports

Monoallelic PARN mutation presenting as pancytopenia, hepatic fibrosis and idiopathic pulmonary fibrosis

A woman in her late 20s presented with a 5-year history of progressive fatigue and generalised weakness. Examination revealed signs of premature ageing, anaemia, neuropathy and hepatosplenomegaly.
BMJ Case Reports

Radiotherapy for extramedullary haematopoiesis of the mandibular mucosa secondary to myelofibrosis

Extramedullary haematopoiesis (EMH) is a clinical manifestation of myelofibrosis (MF), which can lead to significant localised symptoms. A patient in her 70s with a history of MF presented with a ...
BMJ Case Reports

Rebuttal: aortic coarctation and concomitant anomalies – left circumflex fistula, persistent left SVC and ventricular diverticulum

Coarctation of the aorta (COA) is a relatively common cardiovascular congenital anomaly. It can be seen in up to 6 per 1000 live births. Rare cardiovascular anomalies have been found to be associated ...
BMJ Case Reports

Acromegaly presenting with normal insulin-like growth factor-1 levels in a patient with advanced liver cirrhosis

This case describes a presentation of a patient with clinical features of acromegaly, elevated growth hormone (GH) concentrations, a pituitary adenoma but with normal insulin-like growth factor-1 (IGF ...
BMJ Case Reports

Acute uterine torsion complicated by severe placental abruption resulting in maternal cardiopulmonary arrest

A pregnant woman at 32 weeks’ pregnancy presented to the Emergency Department with cardiopulmonary arrest requiring active cardiopulmonary resuscitation and perimortem caesarean section. Operative ...
BMJ Case Reports

Recurrent ventricular tachycardia associated with non-compliance with thyroxine treatment for hypothyroidism

A female in her early 30s with a previous history of postpartum granulomatous hypophysitis presented with palpitations and a syncopal episode. She was haemodynamically unstable on arrival with a heart ...
BMJ Case Reports

Mesenteric unicentric Castleman’s disease misdiagnosed as gastrointestinal neuroendocrine tumour

Castleman’s disease is a rare lymphoproliferative disorder with a variable presentation ranging from no clinical symptoms to fever and fatigue. We report a case of a male in his 30s who presented to ...
BMJ Case Reports

Metastatic melanoma of unknown primary: an unusual dermatologic presentation

Metastatic melanoma without an identifiable primary lesion presents a unique diagnostic challenge and raises consideration of immune-mediated regression or non-cutaneous tumour origin. We describe the ...
BMJ Case Reports

Common carotid artery pseudoaneurysm and frontal brain abscess secondary to oesophageal foreign body in a paediatric patient

Young children often present with sharp foreign body (FB) ingestion. While the risk of complications is low when the FB is urgently removed, perforation of the gastrointestinal tract may lead to ...