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Delayed onset of non-cardiogenic pulmonary oedema following amlodipine overdose.
IF 0.6
BMJ Case Reports Pub Date : 2025-02-13 DOI: 10.1136/bcr-2024-264112
Luca Danilo Zambetti, Andrew Graham Parrish
{"title":"Delayed onset of non-cardiogenic pulmonary oedema following amlodipine overdose.","authors":"Luca Danilo Zambetti, Andrew Graham Parrish","doi":"10.1136/bcr-2024-264112","DOIUrl":"https://doi.org/10.1136/bcr-2024-264112","url":null,"abstract":"<p><p>Amlodipine, a widely used antihypertensive medication, can cause serious complications in overdose, including hypotension, bradycardia, non-cardiogenic pulmonary oedema (NCPO) and death. This report describes a young adult woman who ingested 100 mg of amlodipine in a polypharmacy suicide attempt. Although she initially stabilised, she unexpectedly developed delayed NCPO 3 days post ingestion, requiring intubation and intensive care unit readmission. She recovered fully with supportive care and was discharged in good health. This case highlights the importance of prolonged monitoring and vigilance in managing long-acting calcium channel blocker overdoses, even when the initial clinical response appears satisfactory.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"18 2","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143413352","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
IgG4-related disease causing dacryoadenitis, bronchial stenosis and lobar collapse.
IF 0.6
BMJ Case Reports Pub Date : 2025-02-13 DOI: 10.1136/bcr-2024-262905
Jessica Chan, Kathryn Biddle, Anna Green, Craig Batista, David D'Cruz
{"title":"IgG4-related disease causing dacryoadenitis, bronchial stenosis and lobar collapse.","authors":"Jessica Chan, Kathryn Biddle, Anna Green, Craig Batista, David D'Cruz","doi":"10.1136/bcr-2024-262905","DOIUrl":"https://doi.org/10.1136/bcr-2024-262905","url":null,"abstract":"<p><p>Immunoglobulin G4-related disease (IgG4-RD) is a rare systemic fibroinflammatory disease that can affect almost any organ in the body. The most common sites of IgG4-RD include the salivary glands, orbits and lacrimal glands, pancreas, biliary tree, retroperitoneum and thyroid. Immunoglobulin G4-related lung disease (IgG4-RLD) can occur in isolation or as a component of multisystem disease. Its manifestations are heterogeneous and include lung cavitation, interstitial changes, pleural effusions and lung lesions.We describe a patient with Ig4-RLD manifesting as bronchial stenosis and left upper lobe collapse.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"18 2","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143413356","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
Time is of the essence: an acute complete uterine torsion in a 27-week pregnancy.
IF 0.6
BMJ Case Reports Pub Date : 2025-02-13 DOI: 10.1136/bcr-2024-260127
Claudia Meloche, Roula Toubassy, Anne Gravelle, David McCoubrey
{"title":"Time is of the essence: an acute complete uterine torsion in a 27-week pregnancy.","authors":"Claudia Meloche, Roula Toubassy, Anne Gravelle, David McCoubrey","doi":"10.1136/bcr-2024-260127","DOIUrl":"https://doi.org/10.1136/bcr-2024-260127","url":null,"abstract":"<p><p>Uterine torsion is a rare but critical obstetrical emergency that demands prompt diagnosis and intervention to optimise maternal and fetal outcomes. This case describes acute uterine torsion in a 27-week gestation patient, who presented with sudden onset abdominal pain and fetal distress. An emergency caesarean section was performed. A 360° levorotated uterus with a compromised lower segment was found. The uterus was rotated back to its anatomical position, and the fetus was delivered via a low vertical uterine incision. This report serves to increase awareness of uterine torsion as a differential diagnosis in obstetrical emergencies and provides a brief review of the literature on uterine torsion in a gravid uterus.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"18 2","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143413363","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
Transoesophageal echocardiography in diagnosing pulmonary arteriovenous malformation.
IF 0.6
BMJ Case Reports Pub Date : 2025-02-13 DOI: 10.1136/bcr-2024-264180
Tatsuro Shoji, Masaki Izumo, Yasuhiro Tanabe, Yoshihiro Akashi
{"title":"Transoesophageal echocardiography in diagnosing pulmonary arteriovenous malformation.","authors":"Tatsuro Shoji, Masaki Izumo, Yasuhiro Tanabe, Yoshihiro Akashi","doi":"10.1136/bcr-2024-264180","DOIUrl":"https://doi.org/10.1136/bcr-2024-264180","url":null,"abstract":"<p><p>Pulmonary arteriovenous malformation (PAVM) is a rare cause of embolic stroke of undetermined source (ESUS) and can be challenging to diagnose promptly. In this case, a woman in her 40s with ESUS was diagnosed with PAVM after a transoesophageal echocardiography (TOE) microbubble test revealed bubbles flowing from the right superior pulmonary vein. Endovascular treatment was performed, and follow-up transthoracic echocardiography showed no right-to-left shunt, confirming successful shunt closure. This case is significant as it is the first reported instance where both treatment and postoperative evaluation of PAVM were conducted using echocardiography. The early detection of the shunt through the microbubble test, within three cardiac cycles, was crucial and differs from typical delayed shunt detection. This suggests that focused imaging during TOE can enhance diagnostic accuracy for PAVM.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"18 2","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143413409","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
Left renal vein transposition using autologous gonadal vein graft in patient with combined anterior nutcracker and May-Thurner syndromes.
IF 0.6
BMJ Case Reports Pub Date : 2025-02-13 DOI: 10.1136/bcr-2024-263818
Theoklis Andrea Kouyialis, Marios Zertalis, Nikolas Charalambous, Michail Papoulas
{"title":"Left renal vein transposition using autologous gonadal vein graft in patient with combined anterior nutcracker and May-Thurner syndromes.","authors":"Theoklis Andrea Kouyialis, Marios Zertalis, Nikolas Charalambous, Michail Papoulas","doi":"10.1136/bcr-2024-263818","DOIUrl":"10.1136/bcr-2024-263818","url":null,"abstract":"<p><p>Anterior nutcracker syndrome (ANCS) and May-Thurner syndrome (MTS) are part of a rare group of vascular compression syndromes where extrinsic compression of arteries or veins results in non-specific clinical presentation posing diagnostic and management challenges. We present the case of a female patient in her early 40s with a 3 year history of left flank and pelvic pain, left leg swelling and microscopic haematuria attributed to a rare combination of ANCS and MTS. Compression of the left common iliac vein (MTS) was managed with left common iliac stenting and compression of the left renal vein (LRV; ANCS) was managed surgically with a novel modified technique of LRV transposition using an autologous gonadal vein graft with subsequent resolution of all symptoms. To our knowledge, this is the fourth case presenting the coexistence of the two syndromes in the literature and the first presenting the modified treatment approach.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"18 2","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11831056/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143413358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Congenital generalised lipodystrophy type 2.
IF 0.6
BMJ Case Reports Pub Date : 2025-02-13 DOI: 10.1136/bcr-2024-264477
Vykuntaraju K Gowda, Amaresh Roy, Varunvenkat M Srinivasan, Prahalad Kumar, Viveka Santhosh Reddy Challa
{"title":"Congenital generalised lipodystrophy type 2.","authors":"Vykuntaraju K Gowda, Amaresh Roy, Varunvenkat M Srinivasan, Prahalad Kumar, Viveka Santhosh Reddy Challa","doi":"10.1136/bcr-2024-264477","DOIUrl":"https://doi.org/10.1136/bcr-2024-264477","url":null,"abstract":"","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"18 2","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143413351","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
Desmoid fibromatosis arising from caecum: an overview of the challenges in diagnosis and treatment.
IF 0.6
BMJ Case Reports Pub Date : 2025-02-13 DOI: 10.1136/bcr-2024-263030
Micheal C Luca, Amir Ali Damadi, Binit Katuwal
{"title":"Desmoid fibromatosis arising from caecum: an overview of the challenges in diagnosis and treatment.","authors":"Micheal C Luca, Amir Ali Damadi, Binit Katuwal","doi":"10.1136/bcr-2024-263030","DOIUrl":"10.1136/bcr-2024-263030","url":null,"abstract":"<p><p>Desmoid fibromatosis is a rare subtype of soft tissue neoplasms known for its locally aggressive behaviour and fibrotic consistency. While these tumours can arise in various anatomical sites, their occurrence within the colon is exceptionally rare and poses diagnostic and therapeutic challenges. We present a case of a female patient in her 30s with no significant medical history who presented with vague gastrointestinal and urinary symptoms. Imaging studies revealed a sizeable abdominal mass, initially raising uncertainty regarding its origin. Subsequent exploratory laparotomy revealed a desmoid fibromatosis involving the muscularis propria of the caecum, prompting a right hemicolectomy. Histopathological analysis confirmed the diagnosis, and the patient underwent a successful resection with negative margins. This case underscores the importance of individualised treatment plans and long-term surveillance in managing colonic desmoid tumours for optimal outcomes and disease-free survival.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"18 2","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11831054/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143413353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Malignant pleural mesothelioma.
IF 0.6
BMJ Case Reports Pub Date : 2025-02-13 DOI: 10.1136/bcr-2024-263562
Pragati Rao D, Sruthy Vijayan, Shashidhar S Vananjakar, Prasanna Kumar T
{"title":"Malignant pleural mesothelioma.","authors":"Pragati Rao D, Sruthy Vijayan, Shashidhar S Vananjakar, Prasanna Kumar T","doi":"10.1136/bcr-2024-263562","DOIUrl":"https://doi.org/10.1136/bcr-2024-263562","url":null,"abstract":"<p><p>Malignant pleural mesothelioma is a rare and aggressive tumour of the pleura, commonly linked to asbestos exposure. However, its diagnosis is challenging, especially without known exposure. We present the case of a woman in her early 70s with no history of asbestos exposure, who presented with progressive breathlessness and left-sided chest pain. Radiological assessment revealed a large pleural effusion and nodular pleural thickening. Malignant pleural mesothelioma was confirmed through histopathological analysis of biopsies obtained via medical thoracoscopy. The patient was initiated on a palliative chemotherapy regimen, underwent talc slurry pleurodesis for recurrent effusion, and is currently under follow-up. This case emphasises the importance of a high index of suspicion for malignant pleural mesothelioma in patients with unexplained pleural effusion, even in the absence of typical risk factors, and the need for a timely diagnosis due to the disease's dismal prognosis.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"18 2","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143413359","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
Clinical and surgical insights into parameatal urethral cyst.
IF 0.6
BMJ Case Reports Pub Date : 2025-02-13 DOI: 10.1136/bcr-2024-263319
Ganesh Laxman Krishnamurthy, Ankit Agarwal, Vijay Gunashekar, Arun Chawla
{"title":"Clinical and surgical insights into parameatal urethral cyst.","authors":"Ganesh Laxman Krishnamurthy, Ankit Agarwal, Vijay Gunashekar, Arun Chawla","doi":"10.1136/bcr-2024-263319","DOIUrl":"https://doi.org/10.1136/bcr-2024-263319","url":null,"abstract":"<p><p>Parameatal urethral cysts are rare, benign congenital abnormalities of the urethra, usually presenting in early childhood. Although often asymptomatic, they may sometimes result in urinary flow disturbances, difficulties during sexual intercourse or cosmetic concerns. Here, we present two cases of parameatal urethral cysts in males, diagnosed relatively later in life: one in a young adult in his early 20s and the other in a mid-adolescent. The young adult sought treatment for urine splaying and challenges with sexual intercourse, whereas the adolescent was primarily concerned about the cosmetic appearance of the cyst. Both cases were treated with surgical excision, considering the optimal approach according to the literature. Histopathological examination revealed that the cyst walls were lined with stratified squamous epithelium in both instances. Follow-up showed excellent cosmetic results, with no recurrence or voiding difficulties.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"18 2","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143413350","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
Paediatric gluten ataxia: a rare neurological presentation of gluten sensitivity in a toddler.
IF 0.6
BMJ Case Reports Pub Date : 2025-02-13 DOI: 10.1136/bcr-2024-262288
Ahsan Rasool, Claire Marie Power
{"title":"Paediatric gluten ataxia: a rare neurological presentation of gluten sensitivity in a toddler.","authors":"Ahsan Rasool, Claire Marie Power","doi":"10.1136/bcr-2024-262288","DOIUrl":"10.1136/bcr-2024-262288","url":null,"abstract":"<p><p>A toddler presented with a 6 week history of progressively worsening ataxia, weight loss and loose stool. There was no developmental regression, history of fever or foreign travel. Extensive investigation, including cerebrospinal fluid studies and neuroimaging, were inconclusive. In coeliac screen, the endomysial antibodies were positive with above tenfold elevation of IgA TTG from normal limit, making the diagnosis of coeliac disease (CD). The association of CD with neurological symptoms in our case led to the clinical impression of gluten ataxia. She was started on gluten free diet and had complete symptom resolution in over 4 weeks' time since the start of gluten-free diet. Although common in adults, it has not been reported in toddlers, expanding the differential diagnosis of ataxia.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"18 2","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11831055/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143413360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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