BMJ Case Reports

Facial nerve schwannoma of the accessory parotid gland region in a child managed through a transoral approach

Facial nerve schwannomas arising in the accessory parotid gland region are extremely rare, and paediatric cases have not been reported previously. We present the case of a girl in middle childhood who ...
BMJ Case Reports

Idiopathic fibrosing mediastinitis mimicking malignancy: when imaging deceives

Woman in her 30s presented with dry cough and shortness of breath since 8 months and swelling of the face and lower limbs since 2 months. Imaging revealed a fluorodeoxyglucose-avid mediastinal mass ...
BMJ Case Reports

Acute laser-induced maculopathy with secondary exudative neovascular changes

Laser-related retinal injury is an uncommon but potentially sight-threatening cause of acute visual loss. Damage to the retinal pigment epithelium and Bruch’s membrane may lead to exudation and, in ...
BMJ Case Reports

Isolated deep orbital haemangioma in an infant presenting to the emergency department with right-sided proptosis

Proptosis in early childhood can be an alarming and stressful situation for parents and paediatricians. Different types of ...
BMJ Case Reports

Long-term complications of conjunctival tattooing: pigment aggregation and corneal dellen formation after eight years

We present a case of pigment clumping secondary to cosmetic conjunctival tattooing performed 8 years prior, which ...
BMJ Case Reports

Fetus-in-fetu arising from the palate treated with ex-utero intrapartum treatment

Epignathus, a teratoma arising from the palate or pharynx, is extremely rare and palatal fetus-in-fetu represents an even ...
BMJ Case Reports

Long-term outcome of collagen cross-linking (CXL) for progressive keratoconus with coexistent Fuchs endothelial corneal dystrophy

Corneal endothelial toxicity leading to corneal oedema or endothelial decompensation is a potential concern after corneal collagen cross-linking, especially in patients with susceptible corneas, such ...
BMJ Case Reports

Acute abdomen in pregnancy revealing sigmoid colon carcinoma at caesarean section

A primigravida at 32 weeks 6 days of gestation presented with abdominal pain and features of acute abdomen with suspected peritonitis of unclear aetiology. An emergency lower-segment caesarean section ...
BMJ Case Reports

Congenital adrenal hyperplasia, ovarian adrenal rest tumours and Addison’s disease: an exceptional clinical constellation

We report a woman in her 20s with congenital adrenal hyperplasia (CAH) due to a clinical diagnosis of 11β-hydroxylase deficiency, bilateral ovarian adrenal rest tumours (OARTs), autoimmune Addison’s ...
BMJ Case Reports

Intraoperative asystole during bilateral sagittal split osteotomy: An insight into the trigeminocardiac reflex

The trigeminocardiac reflex (TCR) occurs when branches of the trigeminal nerve are stimulated by physical and/or chemical triggers, leading to cardiac changes. It is commonly associated with midface ...
BMJ Case Reports

Interplay of patent foramen ovale and atrial septum aneurysm in a nonagenarian patient presenting with platypnoea-orthodeoxia syndrome

Patent foramen ovale (PFO) is a common congenital cardiac anomaly, generally responsible for cryptogenic stroke. Still, it can cause severe positional hypoxia via a right-to-left shunt if associated ...
BMJ Case Reports

Archegonous cystic odontoma: expanding the spectrum of hybrid odontogenic lesions

A late adolescent female presented with a progressively enlarging swelling of the right posterior mandible over 5 months. Contrast-enhanced CT demonstrated a well-defined, expansile cystic lesion ...