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BMJ Case Reports

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https://www.readbyqxmd.com/read/29779001/everyone-is-valuable
#1
Dan Crowe
This case highlights the therapeutic value of valuing our patients as people. It starts with a common challenge we can all face as doctors both in primary and in secondary care. It is the challenge of facing a situation where both patient and doctor are 'stuck' where no progress is being made in patient care. A different approach was made to the situation and both patient and doctor could move on. It highlights an issue that is relevant for 'stuck' patients and all of our patients.
May 18, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29779000/splenic-myoid-angioendothelioma-mimicking-metastatic-disease-in-an-8-year-old-with-stage-iv-wilms-tumour
#2
Adil A Shah, Luca Dragos, Timothy D Kane, Mikael Petrosyan
Myoid angioendothelioma are rare and benign vascular tumours of the spleen. Radiographic evaluation and diagnosis is often challenging and subjecting tissue samples to immuhistochemical analysis is often required to make a definitive diagnosis. Myoidangioendotheliomas can be managed with open or laparoscopic splenectomy with minimal risk of recurrent disease. Herein, we present a case of a myoid angioendothelioma in a patient with stage IV Wilms' tumour.
May 18, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29778999/idiopathic-nodular-glomerulosclerosis-ing-in-an-african-american-aa-man-with-hepatitis-c
#3
Nirmal K Onteddu, Jayasri Duggirala, Anand C Reddy
Idiopathic nodular glomerulosclerosis (ING) in a non-diabetic patient is uncommon. Nodular glomerulosclerosis is hallmark sign of diabetic nephropathy. ING is a very rare clinicopathological disease associated with smoking, obesity and hypertension, chronic obstructive pulmonary disease and metabolic syndrome. A 68-year-old non-obese African American man with hypertension, smoking and history of hepatitis C presented to the clinic with progressive worsening of lower extremity oedema and declining renal function over few months...
May 18, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29778998/coexisting-squamous-cell-carcinoma-and-high-grade-neuroendocrine-carcinoma-small-cell-type-a-rare-collision-in-cervix
#4
Seema Kaushal, Sandeep R Mathur, Sunesh Kumar
Collision tumours of the uterine cervix are extremely uncommon with exact incidence not known. Unlike squamous cell carcinoma (SCC) and adenocarcinoma that are known to coexist, small cell neuroendocrine carcinoma (SCNEC) is rarely documented with other histological types in the cervix. We report such rare case of a collision tumour in cervix displaying dual histological component of SCNEC and SCC in a 36-year-old woman. The case is being presented because of its rarity and represents a unique and hitherto seldom-reported combination of two malignant tumours with distinct and often contrasting epidemiology, histology and prognosis coexisting in the same patient...
May 18, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29778997/case-of-unilateral-leg-swelling-a-dvt-mimic
#5
Fiona Y H Kwok, Shehnila Zaya, Ravisankar Moorchilot, Asim Shah
A 68-year-old woman with known metastatic renal cell carcinoma presented with an acutely swollen right leg. In between the two sessions of palliative radiotherapy to the right hip, she also had right hip modified Harrington procedure for tumour resection with hip replacement. Initial clinical evaluation raised the suspicion of right leg deep vein thrombosis (DVT). However, DVT was excluded and further investigations revealed stenosis of the right external and common iliac veins, likely secondary to radiotherapy...
May 18, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29776949/an-unusual-case-of-chronic-nasal-foreign-body
#6
Kate Hulse, Christopher Thompson, Rohit Gohil, Iain Hathorn
No abstract text is available yet for this article.
May 18, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29776948/anomalous-aortic-origin-of-a-coronary-artery-aaoca-from-the-opposite-sinus-of-valsalva
#7
Dominika M Zoltowska, Yashwant Agrawal, Guramrinder Singh Thind, Jagadeesh K Kalavakunta
No abstract text is available yet for this article.
May 18, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29776947/rectal-mucocele-in-the-anterior-wall-of-the-rectum
#8
Daisuke Ishii, Takanori Aoki, Satoshi Inaba, Hidehiko Yabuki
An 84-year-old man presented in 2009 with a sensation of discomfort in his anus, combined with difficulty in urination. He had previously undergone a haemorrhoidectomy in 1964. After examination, he was diagnosed with a rectal mucosal cyst and followed up for observation. In 2015, he presented to our hospital complaining that the cyst was prolapsing from his anus. CT revealed a 48×41 mm cystic mass in the anterior wall of the rectum. Tumour extirpation, via a transanal route, was performed. The postoperative pathological diagnosis confirmed a rectal mucocele...
May 18, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29776946/unmasking-of-poorly-controlled-diabetes-mellitus-by-pulmonary-nocardiosis
#9
Preet Mukesh Shah, Indraneel Raut, Susheel Kumar Bindroo, Vijay Waman Dhakre
No abstract text is available yet for this article.
May 18, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29776945/aortic-intramural-haematoma-associated-with-pulmonary-artery-periadventitial-haematoma
#10
Atsushi Jinno, Takanobu Hirosawa
No abstract text is available yet for this article.
May 18, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29776944/giant-left-parietal-lobe-arachnoid-cyst-presenting-as-early-onset-dementia
#11
Rishi Raj, Ajay Venkatanarayan, Ahmad Sharayah, Douglas Ross
No abstract text is available yet for this article.
May 18, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29776943/mycophenolate-mofetil-induced-colitis-in-a-patient-with-systemic-sclerosis
#12
Gianluca Moroncini, Devis Benfaremo, Alessandra Mandolesi, Armando Gabrielli
We present the case of a 44-year-old woman affected by systemic sclerosis (SSc) who was admitted to our department for abdominal pain, nausea, vomiting and fever. Imaging studies showed the presence of a thickened colon wall involving the descending colon and the sigma, while a subsequent endoscopy revealed multiple serpiginous ulcers covered with fibrin and exudates. Under the hypothesis of drug-induced colitis, mycophenolate mofetil (MMF), which she was taking for SSc-related interstitial lung disease (ILD), was readily suspended, with a rapid recovery without further treatment...
May 18, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29776942/postpartum-pneumomediastinum-and-subcutaneous-emphysema
#13
Diaeddin Sagar, Trevor K Rogers, Aldrin Adeni
We present the case of a 22-year-old primigravida with symptoms of neck swelling and difficulty breathing 3 hours after uneventful vaginal delivery. On examination, there was surgical emphysema. A CT scan confirmed air in the subcutaneous tissues and also revealed pneumomediastinum. There was no evidence of pneumothorax and gastro-oesophageal endoscopy showed no signs of oesophageal rupture. The patient remained clinically stable throughout her admission and was discharged home after 48 hours of observation...
May 18, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29776941/giant-left-atrium-look-before-you-leap-into-invasive-procedures
#14
Jian Liang Tan, Kshitij Thakur, Jonathan Finkel
No abstract text is available yet for this article.
May 18, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29776940/successful-treatment-of-fulminant-neonatal-enteroviral-myocarditis-in-monochorionic-diamniotic-twins-with-cardiopulmonary-support-intravenous-immunoglobulin-and-pocapavir
#15
Shahnawaz M Amdani, Hannah S Kim, Anthony Orvedahl, Audrey Odom John, Ahmed Said, Kathleen Simpson
Neonatal cardiogenic shock most commonly occurs due to critical congenital heart disease, sepsis, metabolic disorder or arrhythmias. In particular, enterovirus infections are common in the neonatal period, and patients can present with fulminant myocarditis. Early recognition is imperative due to its high morbidity and mortality without prompt and aggressive treatment. We present the successful treatment of fulminant neonatal enteroviral myocarditis in a pair of monochorionic diamniotic twins with cardiopulmonary support, intravenous immunoglobulin and pocapavir, an enteroviral capsid inhibitor...
May 18, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29776939/outcomes-of-transanal-endorectal-pull-through-for-rectal-atresia
#16
Mutaz Gieballa, Nawaf AlKharashi, Mohammed Al-Namshan, Saud AlJadaan
Rectal atresia is a rare anorectal malformation, and it has been reported to represent 1%-2% of all anorectal malformations. We report three newborns who were admitted to the neonatal intensive care unit for abdominal distention, bilious vomiting and failure to pass meconium. The external anus and genitalia were normal and well formed. Digital rectal examination showed a blind-ending anal canal. All three infants were initially managed with diverting colostomy and then transanal resection of the rectal atresia with primary anastomosis, followed by colostomy closure...
May 18, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29776938/bilateral-lower-limb-ischaemia-following-acetabular-reconstruction-and-arthroplasty
#17
Nadim Tarazi, Alastair Thomas, Majid Chowdhry, Andrew Carrothers
The incidence of acetabular fractures has increased markedly in patients over 60 in the last quarter of a century, with open reduction and internal fixation being regarded to be the treatment of choice in most patients with displaced acetabular fractures. Lower limb ischaemia following acetabular fixation or arthroplasty is rare. However, such complications can be limb or life threatening, and therefore, it is important to recognise them as early as possible. We present the case of a 70-year-old man with no significant medical history who underwent acetabular fixation with simultaneous arthroplasty complicated with bilateral lower limb ischaemia...
May 18, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29776937/pelvic-epidermoid-cyst-a-rare-cause-of-lower-urinary-tract-symptoms
#18
Pritesh Jain, Dilip Kumar Pal
Pelvic retroperitoneum is a bizarre location of an epidermoid cyst and obstructive voiding caused by it even being stranger. Voiding symptoms related to such an abnormal location of cyst are extremely rare and literature that taps into such cases is scarce. We are presenting here a case of 26-year-old man who was presented with obstructive lower urinary tract symptoms and chronic constipation. On evaluation, he was found to have well-defined cyst in pelvic retroperitoneum. Complete excision of the cyst was done; histopathology confirmed it as an epidermoid cyst...
May 18, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29776936/ethambutol-and-isoniazid-induced-severe-neurotoxicity-in-a-patient-undergoing-continuous-ambulatory-peritoneal-dialysis
#19
Meijun Si, Huiqun Li, Yanru Chen, Hui Peng
Ethambutol (EMB) and isoniazid (INH) are the first-line antituberculosis (anti-TB) drugs. However, their neurotoxicity could cause adverse effect and the patients with end-stage renal disease are especially vulnerable due to the reduction in renal drug clearance. Here, we report a 36-year-old man receiving peritoneal dialysis developed progressive paralysis in lower extremities, vision loss and hoarseness 4 months after anti-TB treatment with INH, EMB and rifapentine because of concomitant pulmonary tuberculosis...
May 18, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29776935/ocular-manifestations-of-rickettsia-in-children-common-but-frequently-overlooked
#20
Sara Homem de Melo Marques, Marta Gomes Guerra, Catarina Almeida, Miguel Ribeiro
We review two cases of ocular manifestations of Rickettsia conorii infection in children. A girl who presented unilateral visual loss with focal retinitis and macular oedema and a boy with unilateral central scotoma and bilateral anterior uveitis. Progressive functional and anatomic recovery was observed after oral antibiotics and steroids were initiated.
May 18, 2018: BMJ Case Reports
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