BMJ Case Reports

Diffuse pulmonary meningotheliomatosis in resected lung adenocarcinoma: a rare incidental finding

Diffuse pulmonary meningiotheliomatosis (DPM) and minute pulmonary menigiothelial-like nodules (MPMNs) are rare pulmonary pathologies often detected incidentally. These lesions are often benign.
BMJ Case Reports

Myocardial infarction in a child with systemic lupus erythematosus

Myocardial infarction in children is an infrequent phenomenon. Here, we are reporting a case of paediatric systemic lupus erythematosus with autoimmune haemolytic anaemia and anti-phospholipid ...
BMJ Case Reports

Lymphatic phenotype characterisation by MR lymphangiography and near-infrared fluorescence imaging in a patient with pleural effusions and oedema

Lymphatic dysfunction can manifest through a spectrum of clinical features, including lower limb lymphoedema and pulmonary complications such as recurrent pleural effusions. Diagnosing underlying ...
casereports.bmj

Rare and dangerous complication of nasogastric tube insertion

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BMJ Case Reports

Spontaneous posterior uterine rupture following vaginal delivery in an unscarred uterus

Primary uterine rupture, defined as rupture of an unscarred uterus during pregnancy or delivery, is a rare but catastrophic obstetric emergency. The estimated incidence is approximately 1 in 16 840–19 ...
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 ...
casereports.bmj

Use of NPWTi-d for simultaneous pleural and mediastinal drainage in deep sternal wound infection during mechanical circulatory support

This case report describes the management of deep sternal wound infection in a female patient supported with an extracorporeal left ventricular assist device (LVAD) following the Bentall procedure for ...
casereports.bmj

Using and monitoring of therapeutic high-dose enoxaparin in a heparin-resistant dialysis patient with recurrent thromboembolic events

The use of enoxaparin is generally not recommended in patients with end-stage renal disease (ESRD) and undergoing haemodialysis. We describe the administration of high-dose enoxaparin in a ...
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

When haematuria is more than warfarin: lambda-predominant IgA nephropathy

A woman in her 20s with a mechanical mitral valve replacement on long-term warfarin therapy presented with frank haematuria and acute kidney injury (AKI). The initial clinical impression was ...
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.