BMJ Case Reports

Xanthogranulomatous oophoritis: malignant appearance, benign pathology

Xanthogranulomatous oophoritis (XO) is a rare inflammatory condition of the female genital tract that closely mimics malignancy due to its non-specific clinical presentation and mass-like appearance ...
BMJ Case Reports

Synchronous coexistence of type 1 papillary renal cell carcinoma and primary mucinous adenocarcinoma of the pelvicalyceal system in single kidney

A man in his 50s presented with persistent left flank pain, imaging revealed a non-functioning hydronephrotic left kidney with multiple calculi and thinning of the renal parenchyma, prompting a ...
BMJ Case Reports

Mixed connective tissue disease presenting with recurrent rhabdomyolysis

We describe the case of a young woman with recurrent rhabdomyolysis caused by mixed connective tissue disease (MCTD). She initially presented with subacute progressive muscle weakness, myalgia, ...
BMJ Case Reports

Perioperative management of a woman with Ebstein’s anomaly undergoing caesarean section

Ebstein’s anomaly is a rare congenital heart anomaly which poses significant perioperative challenges, particularly in pregnant patients undergoing caesarean section. The condition is marked by apical ...
BMJ Case Reports

Acute necrotising pancreatitis in a patient with Behçet’s disease

A man in his 40s of Middle Eastern descent, with no prior medical history, presented with severe abdominal pain that had ...
BMJ Case Reports

Very late-onset narcolepsy type 1: diagnosis in the ninth decade

The age of onset of narcolepsy ranges from childhood to the fourth decade of life, with onset after 50s being rare. Onset at an advanced age is one of the factors involved in the delay in diagnosis.
BMJ Case Reports

Use of a vertical traction device in a two-stage repair of a giant omphalocoele

Giant omphalocoeles, defined by a defect larger than 5 cm or significant liver herniation, present unique challenges due to viscero-abdominal disproportion. Traditional staged closure techniques aim ...
BMJ Case Reports

Malignant peritoneal mesothelioma mimicking ovarian cancer: a diagnostic challenge

Malignant peritoneal mesothelioma (MPM) is a rare and aggressive cancer associated with a poor prognosis. Its presentation mimics a spectrum of conditions, making diagnosis and management particularly ...
BMJ Case Reports

FDG PET in mediastinal seminoma staging and response assessment: an illustration

A male in his early 30s presented with chest pain and difficulty in breathing and was diagnosed to have a mediastinal mass. On evaluation with hybrid FDG PET-CT imaging, the extent was limited to the ...
BMJ Case Reports

Fulminant fat embolism syndrome in paediatric sickle cell disease managed with extracorporeal membrane oxygenation and total plasma exchange

We present the case of a boy with sickle cell disease who developed fulminant fat embolism syndrome following parvovirus-B19 infection. After presenting with severe bone pain, his condition rapidly ...
BMJ Case Reports

Brain fog and protein logs: unravelling encephalopathy in lysinuric protein intolerance with rare mutation and expanded phenotypic spectrum

Lysinuric protein intolerance (LPI) is an autosomal recessive disorder caused by variants in the SLC7A7 gene, leading to impaired transport of dibasic amino acids across intestinal and renal membranes ...
BMJ Case Reports

Deglutition syncope: a rare cause of reflex syncope

We present a rare case of deglutition syncope in a woman in her 20s, who presented with a ten-year history of presyncope and visual disturbances triggered by eating. Investigations, including a ...