This well documented case of localised mediastinitis from oesophageal perforation demonstrates that conservative management may be successful in certain circumstances. Indolent form of mediastinitis caused by oesophageal perforation from fish bone ingestion […]
Category: Editors choice
Comments from Dr Dean Jenkins on the Editor’s choice case report of the week.
Giant right atrial cystic hamartoma: a case report and literature review
This is a challenging and unusual case of chest pain in a child which is described very well by the authors. Giant right atrial cystic hamartoma: a case report and literature review […]
Acute retinal arterial occlusion after intravenous administration of bevacizumab
Bevacizumab is known to cause retinal artery occlusion when given by intravitreal injection. However, in this case, the authors describe retinal artery occlusion with bevacizumab given systemically. Acute retinal arterial occlusion after intravenous administration of bevacizumab […]
Intraventricular haemorrhage without subarachnoid haemorrhage due to a ruptured aneurysm
This is an unusual presentation of intraventricular haemorrhage that demands careful investigation and management. Although rare, the authors describe this type of presentation in detail. Intraventricular haemorrhage without subarachnoid haemorrhage due to a ruptured aneurysm […]
Cutaneous mycobacterial spindle cell pseudotumour
Mycobacterial Spindle Cell Pseudotumour of the skin is a rare presentation and often seen only in the immunocompromised. This case report offers an excellent overview of the condition and links to the relevant recent literature. Cutaneous mycobacterial spindle cell pseudotumour […]
Bilateral atraumatic medial meniscal tears in a 17-year-old rower
This case highlights that unexpected injuries can present in sports. It is always important to keep a broad differential diagnosis. Bilateral atraumatic medial meniscal tears in a 17-year-old rower […]
Impaired estimated glomerular filtration rate associated with hypothyroidism. Does it really mean an acute renal failure?
The authors of this case remind us that laboratory tests do not make diagnoses and that tests can sometimes be misleading. They report the apparently abnormal tests of renal function in a complex patient and link it to the existing literature in this area. Impaired estimated glomerular filtration rate associated with hypothyroidism. Does it really […]
Acute respiratory distress following the inhalation of an aerosol upholstery cleaner: the importance of reporting from the Emergency Department
We are exposed to many potential chemical hazards especially at work and this case report highlights the importance of clear labelling on products. Often, in Emergency Departments, the potential irritant is brought in with the patient and, out of hours, may sometimes be the only source of information about the potential hazard. The UK National […]
Ruptured abdominal aortic aneurysm presenting as testicular pain
Ruptured aortic aneurysm can present in many a varied manner and this case describes one particularly unusual presentation. Very few cases have been reported in the literature of testicular pain being the presenting feature of ruptured abdominal aortic aneurysm. http://casereports.bmj.com/content/2009/bcr.08.2008.0614.full?sid=c103f5b2-d8fd-4963-b368-fb74a30616e7 […]
Supplemental vitamin K improves the stability of anticoagulation in a patient with low tissue stores of vitamin K secondary to coeliac disease
This case describes a patient with a complex medical history and unstable INR on warfarin. The authors describe the likely cause of the instability and demonstrate the use of oral supplementation with Vitamin K. We have all experienced patients with unstable INR (admittedly not usually as complex as this patient) and that makes this case […]