BMJ Case Reports

Rudimentary horn pregnancy mimicking tubal ectopic pregnancy: a diagnostic dilemma

Rudimentary horn pregnancy is a rare form of ectopic pregnancy associated with Müllerian duct anomalies and carries a high risk of uterine rupture and life-threatening haemorrhage. We report the case ...
BMJ Case Reports

Massive haemoptysis in a patient with right pulmonary artery atresia with contralateral pulmonary artery pseudoaneurysm: a therapeutic dilemma in collateral-dependent pulmonary ...

A woman in her 30s presented with recurrent massive haemoptysis and chronic respiratory symptoms, including fever, cough and breathlessness. She had previously received empirical anti-tubercular ...
BMJ Case Reports

Tuberculosis presenting as dual immune dysregulation: Evans syndrome and haemophagocytic lymphohistiocytosis

We report a case of a middle-aged man with no known comorbidities who presented with a 1-month history of fever, dry cough, weight loss and progressively worsening breathlessness. Initial ...
BMJ Case Reports

Traumatic canalicular laceration and complex eyelid injury in a newborn delivered by forceps

We present a neonatal case of complex upper eyelid lacerations with canalicular injury following a forceps-assisted vaginal delivery. Mother’s insistence on vaginal delivery despite obstetric advice ...
BMJ Case Reports

Dysmorphic child with cone-shaped epiphyses: a diagnostic approach and novel trichorhinophalangeal syndrome gene variant

Trichorhinophalangeal syndrome (TRPS) is a very rare genetic disorder comprised of three recognised types, all characterised by short, deformed fingers with cone-shaped epiphyses (CSE) visible on ...
BMJ Case Reports

Rigid bronchoscopic bridge to lung isolation in an airway emergency in congenital lobar emphysema

Congenital lobar emphysema (CLE) presents unique anaesthetic challenges due to the risk of worsening hyperinflation with positive pressure ventilation. We describe an infant who developed rapid ...
BMJ Case Reports

Non-ossifying fibroma of the proximal tibia mimicking chronic osteomyelitis in a child

A boy in his early teens presented with gradually progressive pain and swelling over the anterior aspect of the left upper ...
BMJ Case Reports

Neuraxial anaesthesia for lower segment caesarean section in three parturients with uncorrected tetralogy of Fallot

Tetralogy of Fallot (TOF) is the most common cyanotic congenital heart disease. The physiological cardiovascular changes of pregnancy may worsen right-to-left shunting and haemodynamic instability in ...
BMJ Case Reports

Li-Fraumeni syndrome presenting with temporomandibular chondroblastic osteosarcoma following recurrent glioma

A man in his 20s with recurrent glioma developed rapid-onset trismus and left temporomandibular swelling. Imaging revealed condylar destruction with a mineralised mass. Initial biopsy suggested ...
BMJ Case Reports

Intrapulmonary percussive ventilation for the management of destroyed lung in Swyer–James–MacLeod syndrome

Swyer–James–MacLeod syndrome (SJMS) is a rare disorder resulting from post-infectious bronchiolitis obliterans following lower respiratory tract infection in childhood and may be complicated by ...
BMJ Case Reports

Focal nodular hyperplasia: a rare benign liver tumour in early childhood without predisposing factors

Focal nodular hyperplasia (FNH) is a rare benign hepatic lesion in children, particularly under 5 years of age. Most paediatric liver tumours in this age group are malignant, making an accurate ...
BMJ Case Reports

Topical crushed morphine tablets for dressing-related pain in a malignant fungating wound in a resource-limited palliative care setting

Malignant fungating wounds are often linked to severe dressing-related pain that may continue despite adequate systemic opioid treatment. Topical opioids have shown pain relief in small clinical ...