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Unusual cause of positional dyspnoea: retropharyngeal internal carotid artery mimicking asthma. 体位性呼吸困难的不寻常原因：咽后颈内动脉模拟哮喘。
IF 0.6
BMJ Case Reports Pub Date : 2025-09-21 DOI: 10.1136/bcr-2025-267637
Prashanth Shetty, Rabia Qadeer, Jehan Zeb, Naheeda Bibi
{"title":"Unusual cause of positional dyspnoea: retropharyngeal internal carotid artery mimicking asthma.","authors":"Prashanth Shetty, Rabia Qadeer, Jehan Zeb, Naheeda Bibi","doi":"10.1136/bcr-2025-267637","DOIUrl":"https://doi.org/10.1136/bcr-2025-267637","url":null,"abstract":"<p><p>A man in his late 70s presented with progressive dyspnoea and wheeze, initially treated as asthma. His symptoms were notably positional-worsening in the supine position and resolving when upright. Cardiopulmonary and neurological examinations were unremarkable. Contrast-enhanced CT of the neck revealed a retropharyngeal internal carotid artery (ICA) causing oropharyngeal compression and dynamic airway obstruction. This rare vascular anomaly, which mimicked obstructive airway disease, was managed conservatively with positional adaptations. This case highlights the importance of considering structural vascular causes in patients with respiratory symptoms unresponsive to standard therapies and introduces a relatively undocumented presentation of positional wheeze associated with retropharyngeal ICA.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"18 9","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145124313","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
Laparoscopic management of interstitial heterotopic pregnancy with preservation of intrauterine pregnancy and live birth outcome. 保留宫内妊娠和活产结局的间质性异位妊娠的腹腔镜治疗。
IF 0.6
BMJ Case Reports Pub Date : 2025-09-21 DOI: 10.1136/bcr-2025-266998
Saubhagya Kumar Jena, Ipsita Mohapatra, Satish Choudhury, Vinodhini Kadirvel
{"title":"Laparoscopic management of interstitial heterotopic pregnancy with preservation of intrauterine pregnancy and live birth outcome.","authors":"Saubhagya Kumar Jena, Ipsita Mohapatra, Satish Choudhury, Vinodhini Kadirvel","doi":"10.1136/bcr-2025-266998","DOIUrl":"10.1136/bcr-2025-266998","url":null,"abstract":"<p><p>We report a rare case of ruptured interstitial heterotopic pregnancy in a woman in her early 40s, conceived via in vitro fertilisation. The pregnancy was initially misdiagnosed as a dichorionic diamniotic intrauterine twin gestation. At 11 weeks 5 days of gestation, she presented with abdominal pain. Ultrasonography revealed a viable intrauterine fetus and a second gestational sac in the left interstitial region, with moderate haemoperitoneum. Emergency laparoscopy confirmed rupture of the interstitial ectopic with 1500 mL of haemoperitoneum. The ectopic sac was excised, and the uterine defect was repaired using a purse-string suture technique. Laparoscopy provided a minimally invasive approach with effective haemorrhage control. The intrauterine pregnancy progressed and culminated in the live birth of a preterm infant at 33 weeks 1 day. This case highlights the diagnostic challenges of interstitial heterotopic pregnancy and underscores the role of timely laparoscopic intervention in achieving a rare but successful maternal and neonatal outcome.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"18 9","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145124162","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
Tuberculous epididymo-orchitis mimicking testicular cancer: a diagnostic challenge. 模拟睾丸癌的结核性附睾-睾丸炎：一个诊断挑战。
IF 0.6
BMJ Case Reports Pub Date : 2025-09-21 DOI: 10.1136/bcr-2025-266068
H Balabhaskar, Manu Mk, Manu Jose Chirayath, Aquil Faris Sj, Rajiv S Thomas, Haris Ch
{"title":"Tuberculous epididymo-orchitis mimicking testicular cancer: a diagnostic challenge.","authors":"H Balabhaskar, Manu Mk, Manu Jose Chirayath, Aquil Faris Sj, Rajiv S Thomas, Haris Ch","doi":"10.1136/bcr-2025-266068","DOIUrl":"10.1136/bcr-2025-266068","url":null,"abstract":"<p><p>A patient in his early 60s with a long-standing history of scrotal swelling and recent onset of pain underwent high inguinal orchidectomy due to a suspected testicular malignancy. Tumour markers were normal, but histopathological examination revealed caseating granulomas, confirming tuberculous epididymo-orchitis. He was diagnosed with genitourinary tuberculosis and initiated on anti-tubercular therapy. The patient responded well to treatment with no recurrence. This case highlights the importance of considering tuberculosis in the differential diagnosis of testicular lesions and the critical role of histopathology in confirming the diagnosis.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"18 9","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145124276","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
Leptomeningeal carcinomatosis presenting with multiple sulcal FLAIR hyperintensities and incomplete Cushing's triad. 轻脑膜癌，表现为多发性脑沟FLAIR高信号和不完全库欣三联征。
IF 0.6
BMJ Case Reports Pub Date : 2025-09-21 DOI: 10.1136/bcr-2025-267235
Miharuka Yokosaki, Shuichiro Neshige, Hirofumi Maruyama
{"title":"Leptomeningeal carcinomatosis presenting with multiple sulcal FLAIR hyperintensities and incomplete Cushing's triad.","authors":"Miharuka Yokosaki, Shuichiro Neshige, Hirofumi Maruyama","doi":"10.1136/bcr-2025-267235","DOIUrl":"https://doi.org/10.1136/bcr-2025-267235","url":null,"abstract":"","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"18 9","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145124320","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
Spontaneous angina bullosa haemorrhagica causing laryngospasm and requiring emergency intubation intraoperatively. 自发性大疱性心绞痛出血引起喉痉挛，术中需要紧急插管。
IF 0.6
BMJ Case Reports Pub Date : 2025-09-21 DOI: 10.1136/bcr-2025-265708
William Robert Watson, Niyomi Wijesinghe, Alex Swann, Piers Yates, Bart De Keulenaer
{"title":"Spontaneous angina bullosa haemorrhagica causing laryngospasm and requiring emergency intubation intraoperatively.","authors":"William Robert Watson, Niyomi Wijesinghe, Alex Swann, Piers Yates, Bart De Keulenaer","doi":"10.1136/bcr-2025-265708","DOIUrl":"10.1136/bcr-2025-265708","url":null,"abstract":"<p><p>Angina bullosa haemorrhagica (ABH) is a rare condition in which blood-filled blisters may rapidly form within the oral mucosa. While these blisters often self-resolve without treatment, there have been cases where they have caused airway compromise. We report a case involving a woman in her 70s with known ABH who developed spontaneous bullae which ruptured into the oral cavity during an elective hip replacement. After the bullae ruptured and caused laryngospasm, an emergency tracheal intubation was performed to protect the airway. We note a gap in the literature regarding this patient cohort within the perioperative setting. Given this cohort is at risk of rapidly developing spontaneous bullae, which can predispose to airway emergencies, careful assessment and consideration of elective tracheal intubation may minimise such risk. Additionally, a period of observation in a high dependency unit postoperatively may be advisable.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"18 9","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12477420/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145124279","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
Portohepatic fusion mimics biliary aplasia. 肝门融合模拟胆道发育不全。
IF 0.6
BMJ Case Reports Pub Date : 2025-09-21 DOI: 10.1136/bcr-2025-266981
Yousef El-Gohary, Christopher R Moir, Abdalla Zarroug
{"title":"Portohepatic fusion mimics biliary aplasia.","authors":"Yousef El-Gohary, Christopher R Moir, Abdalla Zarroug","doi":"10.1136/bcr-2025-266981","DOIUrl":"10.1136/bcr-2025-266981","url":null,"abstract":"<p><p>We report a rare case of biliary aplasia in an infant who presented with persistent jaundice and elevated direct bilirubin despite having cholic stools. Imaging confirmed the absence of extrahepatic bile ducts, consistent with biliary atresia. Intraoperatively, there was a complete absence of an extrahepatic biliary tree consistent with biliary hypoplasia. We identified a cryptogenic hepatic plate directly fused to the right portal vein on further dissection. Despite the atypical anatomy, a modified Kasai portoenterostomy was successfully performed. The patient showed progressive clinical improvement with complete resolution of jaundice and normalisation of liver function tests over the following months. This case underscores a rare anatomical variant that can still permit a favourable outcome with a timely Kasai procedure. To our knowledge, this is one of the few documented cases of hepatic plate-portal vein fusion in biliary atresia.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"18 9","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145124352","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
Acute interstitial pneumonitis associated with daratumumab treatment. 急性间质性肺炎与达拉单抗治疗相关。
IF 0.6
BMJ Case Reports Pub Date : 2025-09-21 DOI: 10.1136/bcr-2025-267801
Navroop Momi, Vaiishnavi Ramesh, Aneesh Kumar Vasudevan, Kulothungan Gunasekaran
{"title":"Acute interstitial pneumonitis associated with daratumumab treatment.","authors":"Navroop Momi, Vaiishnavi Ramesh, Aneesh Kumar Vasudevan, Kulothungan Gunasekaran","doi":"10.1136/bcr-2025-267801","DOIUrl":"10.1136/bcr-2025-267801","url":null,"abstract":"<p><p>Daratumumab is a monoclonal antibody targeting CD38 and is widely used in the treatment of multiple myeloma. While generally well tolerated, pulmonary toxicity is a rare and under-recognised adverse effect. We present the case of an elderly woman with multiple myeloma on maintenance daratumumab therapy who developed subacute hypoxic respiratory failure. Imaging revealed new-onset diffuse bilateral ground-glass opacities. Bronchoscopy with lavage was non-diagnostic. Extensive infectious and rheumatologic workup was unrevealing. The patient improved significantly with corticosteroids and discontinuation of daratumumab, supporting a diagnosis of drug-induced pneumonitis. This case highlights the importance of considering monoclonal antibody-induced lung injury in the differential diagnosis of respiratory symptoms in patients receiving long-term CD38-directed therapy.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"18 9","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145124184","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
Community-based health insights from rural Uganda: challenges and resilience in healthcare access. 来自乌干达农村的基于社区的健康见解：获得医疗保健的挑战和复原力。
IF 0.6
BMJ Case Reports Pub Date : 2025-09-21 DOI: 10.1136/bcr-2025-267518
Ishani Sharma, Patience Nantume, Celine Tabche
{"title":"Community-based health insights from rural Uganda: challenges and resilience in healthcare access.","authors":"Ishani Sharma, Patience Nantume, Celine Tabche","doi":"10.1136/bcr-2025-267518","DOIUrl":"https://doi.org/10.1136/bcr-2025-267518","url":null,"abstract":"<p><p>The Ugandan healthcare system is a multilevel, decentralised network comprised of both government and privately funded institutions. Disparities in healthcare access between urban and rural settings remain an issue in Uganda. A mix of ethnographic fieldwork and informal interviews was conducted within a rural community north of Kampala. These aimed to explore determinants of community health behaviours, healthcare challenges faced by residents and existing healthcare strategies and resources. Four key themes emerged from the discussions: healthcare access and utilisation, community culture and health-seeking behaviour, role of voluntary health teams and resource use and community-led solutions. Interviews with community leads highlighted several potential community-designed strategies to address these issues. These community reflections echo wider literature on rural healthcare access. Critically, the importance of health outreach, integration of traditional medicine and cultural sensitivity cannot be understated. Co-design and community collaboration is essential to ensure sustainable, asset-based approaches to rural healthcare problem solving.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"18 9","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145124252","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
Subacute encephalopathy with seizures in alcoholics (SESA) syndrome: a subtype of focal non-convulsive status epilepticus. 酒精中毒发作的亚急性脑病（SESA）综合征：局灶性非惊厥性癫痫持续状态的一个亚型。
IF 0.6
BMJ Case Reports Pub Date : 2025-09-21 DOI: 10.1136/bcr-2024-263971
Oluwasinmisola Martha Opeyemi, Anna Bacchetti, Alice Ruo Wei Tang, Shamik Bhattacharyya
{"title":"Subacute encephalopathy with seizures in alcoholics (SESA) syndrome: a subtype of focal non-convulsive status epilepticus.","authors":"Oluwasinmisola Martha Opeyemi, Anna Bacchetti, Alice Ruo Wei Tang, Shamik Bhattacharyya","doi":"10.1136/bcr-2024-263971","DOIUrl":"https://doi.org/10.1136/bcr-2024-263971","url":null,"abstract":"<p><p>Focal status epilepticus is often associated with intracranial infections, neoplasms or vascular aetiologies. Subacute encephalopathy with seizures in alcoholics (SESA) syndrome is a clinically under-recognised disorder characterised by encephalopathy in the context of seizure and specific focal EEG abnormalities. Our case involved a male in his 50s with a history of alcohol use disorder, who presented with left-sided twitching and encephalopathy, found to be in a focal status. An EEG revealed abnormal discharges in the right frontoparietal region. MRI of the brain displayed signal changes in the right cerebral hemisphere, hippocampus and thalamus. A fluorodeoxyglucose positron emission tomography showed hypometabolism in the bilateral cerebral cortices. The final diagnosis of SESA was made after a comprehensive evaluation. The patient improved in both his symptoms and interval MRI after initiation of appropriate anti-seizure medications.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"18 9","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145124261","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
CACP syndrome and PRG4 mutation. CACP综合征与PRG4突变。
IF 0.6
BMJ Case Reports Pub Date : 2025-09-21 DOI: 10.1136/bcr-2025-266148
Juliette Trochain, Cecilia Moscovici, Marie Le Nezet, Paul Legendre
{"title":"<b>CACP syndrome and</b> <i>PRG4</i> <b>mutation</b>.","authors":"Juliette Trochain, Cecilia Moscovici, Marie Le Nezet, Paul Legendre","doi":"10.1136/bcr-2025-266148","DOIUrl":"10.1136/bcr-2025-266148","url":null,"abstract":"<p><p>We report the case of a patient with a late diagnosis of camptodactyly-arthropathy-coxa vara-pericarditis syndrome, following his first episode of constrictive pericarditis in adulthood. We also aim to review the existing literature on this rare disease.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"18 9","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145124229","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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