BMJ Case Reports

Incidental distal tibial enchondroma identified during evaluation of foot and ankle pain

A man in his 70s presented with a 6-month history of moderate left foot and ankle pain without a clear mechanism of injury. Initial radiographs obtained during evaluation revealed an incidental lesion ...
BMJ Case Reports

Relapsing CNS involvement in MGUS—an Occam’s razor?

Monoclonal gammopathy of undetermined significance (MGUS) is traditionally considered a benign precursor plasma cell disorder with minimal risk of progression to multiple myeloma or ...
BMJ Case Reports

Propofol-induced opisthotonos in the post-anaesthesia care unit

We report a case of opisthotonos following propofol for induction of general anaesthesia in a man in his 30s who underwent elective dental extraction. Within minutes of arrival in the post-anaesthesia ...
BMJ Case Reports

Can focal nodular hyperplasia transform into hepatocellular carcinoma? A 20-year journey from benign to malignant

This case presents a progression from benign focal nodular hyperplasia (FNH) to hepatocellular carcinoma (HCC) in a ...
BMJ Case Reports

Removal of an intraorbital electric cutter blade fragment by combined cerebral angiography and lateral orbitotomy for globe preservation

Intraorbital foreign bodies (IOFBs) represent significant challenges in ocular trauma management, particularly when complete burial occurs. We present a male in his 50s who sustained a high-velocity ...
BMJ Case Reports

Secondary thrombotic thrombocytopenic purpura with features of Evans syndrome in a patient with SLE

A female in her early 40s with systemic lupus erythematosus (SLE) and prior immune thrombocytopenic purpura presented with dizziness, dyspnoea, haematuria and fatigue. Investigations revealed a ...
BMJ Case Reports

A rapidly involuting congenital haemangioma of the lower limb

We report the case of a full-term male neonate born with a 5 cm vascular mass on the inner surface of the right thigh, diagnosed as a congenital haemangioma. Blood tests, including platelet count and ...
BMJ Case Reports

Bilateral corneal perforation following post-PRK fungal keratitis managed with tenons patch graft

A woman in her early 20s underwent bilateral photorefractive keratectomy (PRK) for correction of myopia. She developed ...
BMJ Case Reports

Chronic ketamine use associated with progressive multisystem organ dysfunction

A man in his 30s developed progressive multisystem organ dysfunction following 15 years of heavy recreational ketamine use. Complications included ketamine cystitis, cholangiopathy, obstructive ...
BMJ Case Reports

Delayed recognition of Joubert syndrome in a child initially diagnosed with autism spectrum disorder without intellectual impairment

Joubert syndrome (JS) is a rare ciliopathy characterised by the molar tooth sign on brain MRI, cerebellar vermis hypoplasia, hypotonia and developmental delay. We report an elementary school-aged boy ...
BMJ Case Reports

Pelvic desmoid fibromatosis: a diagnostic and therapeutic challenge

Pelvic desmoid fibromatosis is a rare locally aggressive benign neoplasm, typically presenting in the reproductive age group with lower abdominal pain. Extra-abdominal occurrence being predominant, ...
BMJ Case Reports

Severe hypokalaemia and secretory diarrhoea secondary to a vasoactive intestinal peptide-secreting tumour (VIPoma)

A woman in her 60s presented to the emergency department with an 18-month history of chronic secretory diarrhoea and 8 kg weight loss. She had multiple previous presentations to healthcare for ...