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Iatrogenic ureteric injuries following hysterectomy: experience of two patients managed in a tertiary care centre. 子宫切除术后的医源性输尿管损伤：在三级保健中心管理的两名患者的经验。
IF 0.6
BMJ Case Reports Pub Date : 2026-05-08 DOI: 10.1136/bcr-2025-267594
Rishabh Mehta, Shreya Kolte, Devendra Kumar Jain, Sanjay Dhangar, Ketan Vartak, Shashank Patil
{"title":"Iatrogenic ureteric injuries following hysterectomy: experience of two patients managed in a tertiary care centre.","authors":"Rishabh Mehta, Shreya Kolte, Devendra Kumar Jain, Sanjay Dhangar, Ketan Vartak, Shashank Patil","doi":"10.1136/bcr-2025-267594","DOIUrl":"https://doi.org/10.1136/bcr-2025-267594","url":null,"abstract":"<p><p>We present our experience of managing two patients in their mid-40s at a tertiary care centre who developed ureterovaginal fistulas post-hysterectomy. Management included bilateral double-J stenting, percutaneous nephrostomy (PCN) and conservative treatment for one patient, whereas the other patient developed recurrent symptoms following PCN, necessitating definitive surgical intervention. Early recognition, timely intervention and individualised management strategies are critical in mitigating long-term complications associated with ureteric injuries following hysterectomy. Both conservative and surgical approaches can be effective depending on the severity of injury and clinical scenario.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"19 5","pages":""},"PeriodicalIF":0.6,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147855813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Spinal dural arteriovenous fistula mimicking neuromyelitis optica spectrum disorder: a diagnostic pitfall. 脊髓硬膜动静脉瘘模拟视神经脊髓炎频谱障碍：一个诊断缺陷。
IF 0.6
BMJ Case Reports Pub Date : 2026-05-08 DOI: 10.1136/bcr-2026-272118
Ammar Abd Alrahman Alobaidy, Iman Al-Lawati, Ahmed Al-Habsi
{"title":"Spinal dural arteriovenous fistula mimicking neuromyelitis optica spectrum disorder: a diagnostic pitfall.","authors":"Ammar Abd Alrahman Alobaidy, Iman Al-Lawati, Ahmed Al-Habsi","doi":"10.1136/bcr-2026-272118","DOIUrl":"https://doi.org/10.1136/bcr-2026-272118","url":null,"abstract":"<p><p>Spinal vascular malformations are rare causes of progressive myelopathy, often leading to misdiagnosis as inflammatory disorders like neuromyelitis optica spectrum disorder (NMOSD). We present the case of a man in his late 30s who developed a 9-month history of progressive low back pain, ascending paraesthesia and worsening paraparesis. Initial MRI showed longitudinally extensive transverse myelitis (LETM), and he was treated for seronegative NMOSD with steroids and plasmapheresis despite negative AQP4-IgG and MOG-IgG. As his condition didn't improve, a spinal dural arteriovenous fistula (SDAVF) was suspected and confirmed via digital subtraction angiography (DSA). Following successful endovascular embolisation, the patient's motor strength improved substantially and he regained the ability to ambulate with a cane. This case highlights that while double-negative (DN) NMOSD is a challenging clinical syndrome, the identification of mimics like SDAVF is of higher diagnostic priority to prevent the morbidity associated with inappropriate long-term immunosuppression.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"19 5","pages":""},"PeriodicalIF":0.6,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147856005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Intracerebral haemorrhage associated with collagen type IV alpha 2 gene mutation and familial small vessel disease. IV型α 2基因突变与家族性小血管疾病相关的脑出血
IF 0.6
BMJ Case Reports Pub Date : 2026-05-08 DOI: 10.1136/bcr-2025-271023
Ramya Sudha Satyadi, Daniel Ja Connolly, Kirsty Ac Harkness
{"title":"Intracerebral haemorrhage associated with collagen type IV alpha 2 gene mutation and familial small vessel disease.","authors":"Ramya Sudha Satyadi, Daniel Ja Connolly, Kirsty Ac Harkness","doi":"10.1136/bcr-2025-271023","DOIUrl":"https://doi.org/10.1136/bcr-2025-271023","url":null,"abstract":"<p><p>A woman in her late 50s presented with a 2-day history of left-sided headache, confusion and speech disturbance. Neuroimaging revealed a large left parietal-temporal haematoma with surrounding oedema and multiple microhaemorrhages in contralateral brain regions. There was a significant family history of young-onset stroke. Subsequent genetic testing confirmed a pathogenic COL4A2 mutation, consistent with hereditary cerebral small vessel disease. Management included blood pressure optimisation, migraine prophylaxis and cognitive support. This case highlights the importance of considering monogenic causes of intracerebral haemorrhage in patients with atypical imaging and positive family history, enabling early intervention and family screening.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"19 5","pages":""},"PeriodicalIF":0.6,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147855855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Amiodarone-induced aseptic meningitis. 胺碘酮引起的无菌性脑膜炎。
IF 0.6
BMJ Case Reports Pub Date : 2026-05-08 DOI: 10.1136/bcr-2026-272079
Lise Janssens, Wendy Van Daele, Katlijn Schotsmans
{"title":"Amiodarone-induced aseptic meningitis.","authors":"Lise Janssens, Wendy Van Daele, Katlijn Schotsmans","doi":"10.1136/bcr-2026-272079","DOIUrl":"https://doi.org/10.1136/bcr-2026-272079","url":null,"abstract":"<p><p>Drug-induced aseptic meningitis (DIAM) is a rare but serious adverse drug reaction. A broad spectrum of medications is linked to DIAM, with NSAIDs, human IVIG, antibiotics (particularly sulphonamides and penicillins), vaccines and monoclonal antibodies being among the most frequently reported. Amiodarone is a frequently used anti-arrhythmic medication and neurotoxic effects including tremor and peripheral neuropathy are well known. We present a case of a male in his late 70s admitted to the emergency department with a 5-week history of headache, vomiting and weight loss. Cerebrospinal fluid analysis was suggestive of aseptic meningitis. The symptoms emerged after initiation of amiodarone and showed rapid resolution on withdrawal of the medication. To the best of our knowledge, this is the first case to describe aseptic meningitis induced by amiodarone.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"19 5","pages":""},"PeriodicalIF":0.6,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147855867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Management of extensive surgical emphysema with subcutaneous drain and incisional negative pressure wound therapy. 广泛手术肺气肿的处理与皮下引流和切口负压伤口治疗。
IF 0.6
BMJ Case Reports Pub Date : 2026-05-08 DOI: 10.1136/bcr-2025-269776
Andrew Allman, Tiffany D'Silva, Chay Markham, Robert Venn
{"title":"Management of extensive surgical emphysema with subcutaneous drain and incisional negative pressure wound therapy.","authors":"Andrew Allman, Tiffany D'Silva, Chay Markham, Robert Venn","doi":"10.1136/bcr-2025-269776","DOIUrl":"https://doi.org/10.1136/bcr-2025-269776","url":null,"abstract":"<p><p>This report details a man in his late 60s who presented with a new right-sided pneumothorax against the background of advanced COPD and a known large apical bulla. Multiple chest drains were inserted to manage the pneumothorax but the patient developed extensive surgical emphysema causing significant distress. Reported here is the management of the extensive surgical emphysema and techniques used to insert a subcutaneous drain and incisional negative pressure wound therapy, ultimately with positive results. This report will briefly explore other techniques to manage subcutaneous emphysema, with the focus then on how negative pressure wound therapy can be implemented and benefit patients who are too frail/comorbid for further invasive interventions.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"19 5","pages":""},"PeriodicalIF":0.6,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147855825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
From orbit to cortex: recognising teprotumumab-induced encephalopathy. 从眼眶到皮质：识别teprotumumab诱导的脑病。
IF 0.6
BMJ Case Reports Pub Date : 2026-05-08 DOI: 10.1136/bcr-2025-271752
Alan Spicer, Zuhair Siddiqui, Ping-Hao Yang, Ramya Punati, Connie Tang
{"title":"From orbit to cortex: recognising teprotumumab-induced encephalopathy.","authors":"Alan Spicer, Zuhair Siddiqui, Ping-Hao Yang, Ramya Punati, Connie Tang","doi":"10.1136/bcr-2025-271752","DOIUrl":"https://doi.org/10.1136/bcr-2025-271752","url":null,"abstract":"<p><p>Autoimmune-related adverse effects may occur from monoclonal antibody medications though autoimmune encephalopathy is not a commonly reported reaction. Inhibiting the insulin-like growth factor 1 pathway has been shown to cause neurocognitive side effects. We report a case of a man in his early 60s who presented with neuropsychiatric changes after beginning teprotumumab for thyroid eye disease. He was diagnosed with teprotumumab-induced encephalopathy and ultimately treated with plasma exchange.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"19 5","pages":""},"PeriodicalIF":0.6,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147855885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Skin lesions and acute kidney injury following Phyllodiscus semoni sting. 半毛茛蜇伤后的皮肤损害和急性肾损伤。
IF 0.6
BMJ Case Reports Pub Date : 2026-05-08 DOI: 10.1136/bcr-2025-270943
Hikaru Ishizawa, Aya Sunakawa, Yusuke Yamanaka
{"title":"Skin lesions and acute kidney injury following <i>Phyllodiscus semoni</i> sting.","authors":"Hikaru Ishizawa, Aya Sunakawa, Yusuke Yamanaka","doi":"10.1136/bcr-2025-270943","DOIUrl":"https://doi.org/10.1136/bcr-2025-270943","url":null,"abstract":"","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"19 5","pages":""},"PeriodicalIF":0.6,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147855847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Audio-recorded stereotyped nocturnal choking vocalisations suggesting insular epilepsy. 有录音的刻板的夜间窒息的声音表明是岛状癫痫。
IF 0.6
BMJ Case Reports Pub Date : 2026-05-08 DOI: 10.1136/bcr-2026-272891
Shuichiro Neshige, Haruka Ishibashi, Hirofumi Maruyama
{"title":"Audio-recorded stereotyped nocturnal choking vocalisations suggesting insular epilepsy.","authors":"Shuichiro Neshige, Haruka Ishibashi, Hirofumi Maruyama","doi":"10.1136/bcr-2026-272891","DOIUrl":"https://doi.org/10.1136/bcr-2026-272891","url":null,"abstract":"","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"19 5","pages":""},"PeriodicalIF":0.6,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147855820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Renal presentation of diffuse large B-cell lymphoma emerging after pre-existing IgG4-related disease and monoclonal gammopathy of undetermined significance. 弥漫性大b细胞淋巴瘤的肾脏表现出现在先前存在的igg4相关疾病和意义不明的单克隆γ病之后。
IF 0.6
BMJ Case Reports Pub Date : 2026-05-08 DOI: 10.1136/bcr-2025-270364
Ahmed Jlasi, Aaron Gomez, Xiaoying Deng
{"title":"Renal presentation of diffuse large B-cell lymphoma emerging after pre-existing IgG4-related disease and monoclonal gammopathy of undetermined significance.","authors":"Ahmed Jlasi, Aaron Gomez, Xiaoying Deng","doi":"10.1136/bcr-2025-270364","DOIUrl":"https://doi.org/10.1136/bcr-2025-270364","url":null,"abstract":"<p><p>A woman in her late 70s with a congenital solitary kidney, end-stage renal disease on haemodialysis, prior biopsy-proven IgG4-related disease (IgG4-RD) involving the liver and porta hepatis and monoclonal gammopathy of undetermined significance presented after a fall. Trauma-related CT imaging revealed a 20 cm infiltrative renal mass with bulky retroperitoneal lymphadenopathy. The laboratory data showed persistently elevated serum IgG4 levels with stable kappa-to-lambda free light chain ratios. Biopsy of the renal mass confirmed aggressive diffuse large B-cell lymphoma with a high proliferative index and cytogenetic abnormalities. This case raises the possibility that chronic immune dysregulation in IgG4-RD may be associated with lymphomagenesis.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"19 5","pages":""},"PeriodicalIF":0.6,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147855908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Treatment of thoracic posterior cutaneous nerve entrapment syndrome using an ultrasound-guided erector spinae plane block. 超声引导竖脊肌平面阻滞治疗胸后皮神经卡压综合征。
IF 0.6
BMJ Case Reports Pub Date : 2026-05-08 DOI: 10.1136/bcr-2025-268847
Takahiro Minamii, Shogo Shirota, Hiroaki Nishioka
{"title":"Treatment of thoracic posterior cutaneous nerve entrapment syndrome using an ultrasound-guided erector spinae plane block.","authors":"Takahiro Minamii, Shogo Shirota, Hiroaki Nishioka","doi":"10.1136/bcr-2025-268847","DOIUrl":"https://doi.org/10.1136/bcr-2025-268847","url":null,"abstract":"<p><p>Posterior cutaneous nerve entrapment syndrome (POCNES) is a rare and often overlooked cause of chronic paravertebral back pain. Treatment options for POCNES are not well established. Herein, we describe a teenage patient with a 3-month history of left parascapular pain and dysaesthesia unresponsive to analgesics or physiotherapy. Physical examination revealed a hyperalgesic and hypoaesthetic area lateral to the eighth thoracic vertebra. Imaging and laboratory tests showed no significant findings. A trigger-point injection provided temporary pain relief, which aided in diagnosing POCNES, although the relief was short-lived. We then performed an ultrasound-guided erector spinae plane (ESP) block, which effectively resolved the patient's pain without recurrence. Diagnosing POCNES requires a high level of suspicion, thorough history-taking and focused physical examination to identify its neuropathic features. The ultrasound-guided ESP block may be a treatment option for managing POCNES.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"19 5","pages":""},"PeriodicalIF":0.6,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147855991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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