BMJ Case Reports

Congenital nasolacrimal duct cyst complicating as an orbital abscess

An otherwise healthy female infant presented with left-sided, rapidly progressive, severe periorbital swelling, erythema and proptosis for 7 days’ duration. Imaging revealed multiple fluid-filled ...
BMJ Case Reports

Canaliculitis associated with multiple retained silicone punctal plugs and concurrent biodegradable plug placement

Punctal occlusion is a common therapy for dry eye syndrome using permanent or biodegradable plugs to reduce tear drainage. This case describes a female in her 60s who developed left inferior ...
BMJ Case Reports

Upadacitinib salvage for refractory immune checkpoint inhibitor colitis complicated by cytomegalovirus infection

Immune checkpoint inhibitor colitis is a common immune-related adverse event associated with immunotherapy and may be refractory to corticosteroids and biologic therapy. Evidence guiding management ...
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 ...
casereports.bmj

Silicone granuloma: a cause of cervical lymphadenopathy following breast implantation

We report a case of a 54-year-old woman with saline-based breast implants who presented to the ear, nose and throat neck lump clinic with a 2-week history of bilateral neck lumps. She was found to ...
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

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

Revision of diagnosis in a child with type 1 diabetes mellitus due to appropriate genetic testing – Wolfram Syndrome

We present a middle childhood boy with type 1b diabetes mellitus (defined as insulin-dependent diabetes mellitus without ...
BMJ Case Reports

Central serous chorioretinopathy associated with topical prostaglandin analogues

We present two cases with glaucoma who presented with blurred vision or metamorphopsia; the common feature was the ongoing medication with prostaglandin analogue latanoprost and neither patient ...
casereports.bmj

Retrograde ejaculation associated with quetiapine and treatment with low-dose imipramine

Sexual side-effects are common among those using antipsychotic medication and may result in poor compliance and reduced quality of life. Retrograde ejaculation (RE) has been described occurring with a ...
BMJ Case Reports

Virtual reality integrated pulmonary rehabilitation in post-teratoma excision lung collapse

This case report details the rehabilitation of a male child in early teenage who developed complete left lower lobe collapse following surgical excision of a large mediastinal teratoma. The patient ...
BMJ Case Reports

Cholangiocarcinoma with metachronous urothelial malignancy as a rare manifestation of Lynch syndrome with no gastrointestinal tumour

Lynch syndrome, an autosomal dominant disorder caused by defective DNA mismatch repair genes, is linked to early-onset colorectal, ovarian, gastric, urinary tract and, less commonly, small bowel, ...