BMJ Case Reports

When imaging fails: surgical discovery of an occult ovarian teratoma in severe refractory anti-NMDA receptor encephalitis

Anti-N-methyl-D-aspartate (NMDA) encephalitis is marked by rapidly evolving and severe neuropsychiatric symptoms that can affect any age. This case illustrates a woman in her early 40s who was ...
BMJ Case Reports

Müllerian duct cyst and prostate adenocarcinoma in a young adult

Müllerian duct cysts are rare congenital anomalies arising from persistent remnants of the paramesonephric (Müllerian) duct system. The coexistence of Müllerian duct cysts with prostate adenocarcinoma ...
BMJ Case Reports

Primary orbital B cell lymphoblastic lymphoma in a toddler mimicking rhabdomyosarcoma: a diagnostic challenge

Paediatric orbital tumours are rare, and primary orbital lymphomas are particularly uncommon, with an incidence of approximately 0.12 per 1000 000 children. Such lymphomas may present as orbital ...
BMJ Case Reports

Epidural anaesthesia for caesarean delivery in a woman with Fontan circulation and severe thrombocytopaenia

Fontan physiology poses unique anaesthetic challenges due to passive pulmonary circulation, preload dependence and elevated ...
BMJ Case Reports

Early diagnosis and management of primary vitreoretinal lymphoma with non-radiologic leptomeningeal involvement using MYD88 Leu265Pro variant analysis

This case report describes a woman in her 60s diagnosed with primary vitreoretinal lymphoma (PVRL) with leptomeningeal ...
BMJ Case Reports

Delayed diagnosis of congenital duodenal obstruction in early adolescence in a patient with Down syndrome and autism spectrum disorder

Congenital duodenal obstruction (CDO) is a recognised anomaly frequently associated with Down syndrome (DS). While complete obstruction is typically diagnosed in the neonatal period, incomplete ...
BMJ Case Reports

Perioperative airway management of a neonate and an infant for surgical repair of large occipital meningomyeloceles

Occipital meningomyeloceles are rare and challenging conditions for the anaesthesiologist, mainly because of the difficulty ...
casereports.bmj

Cold agglutinins in a patient undergoing normothermic cardiac operation with warm cardioplegia

Cold agglutinins are autoantibodies that agglutinate red blood cells at low temperatures, leading to haemagglutination and haemolysis. They are generally of no clinical significance. However, when ...
casereports.bmj

Management of an unusual case of iatrogenic parotid sialocele using an infant feeding tube: a novel approach

Injuries to the parotid duct and parenchyma resulting in swelling in the cheek region commonly present in maxillofacial practice. Sialocele is a discrete collection of saliva in a subcutaneous cavity ...
casereports.bmj

Man with epigastric pain and persistently elevated serum lipase

Serum lipase and amylase are commonly requested in individuals presenting with abdominal pain for investigation of acute pancreatitis. Pancreatic hyperenzymaemia is not specific for acute pancreatitis ...
casereports.bmj

Novel KIF5A variant in a patient with early-onset levodopa-responsive Parkinson’s syndrome

We present the case of a male in his mid-30s with a progressive complex neurological phenotype primarily characterised by levodopa-responsive parkinsonism with motor fluctuations as well as gait ...
casereports.bmj

Superior mesenteric artery syndrome in a healthy active adolescent

This report discusses a case of superior mesenteric artery (SMA) syndrome in a previously healthy 15-year-old boy with no weight loss or other common risk factors. The patient presented to the ...