Standard airway management in deteriorating super morbidly obese patients can lead to cardiovascular collapse because of their poor physiological reserves. In this report, we describe a case of awake ...
We present a case of a postmenopausal woman with androgenic alopecia and very high testosterone levels of 16 nmol/L (normal range 0.4–1.2). CT showed an enlarged right ovary with a high-density nodule ...
Progressive multifocal leukoencephalopathy (PML), caused by reactivation of JC virus, typically develops in individuals with profound immunosuppression, but may also occur in those with more subtle ...
Narcolepsy is a rare disorder of central hypersomnolence which is often under-recognised owing to a variable clinical phenotype. Narcolepsy type 1 (NT1) is caused by loss of hypothalamic hypocretin ...
We report a rare case of Cushing’s syndrome in a pregnant woman carrying twins. Interestingly, the patient did exhibit many of the classic clinical features typically associated with hypercortisolism, ...
Inflammatory pseudotumour of the liver (IPTL) is a rare benign lesion that can closely mimic hepatic malignancy on imaging and laboratory testing. We describe a patient who presented with fever, ...
Gastric synovial sarcoma (GSS) is an exceptionally rare mesenchymal malignancy, with only 51 cases reported. We present a case of a man in his 50s with dyspeptic symptoms and epigastric pain.
Ewing sarcoma (ES) and its variants are rare and aggressive malignancies, occurring in paediatric and younger adult populations. Adamantinoma-like ES (ALES) is one of its variants, characterised by ...
The non-neoplastic fibro-osseous lesions of the facial skeleton are rare and are usually considered to be fibrous dysplasia or ossifying fibroma. Brown tumour of the maxilla, on the other hand, is ...
We present a case of human epidermal growth factor receptor 2 (HER2)-overexpressing, alpha-fetoprotein (AFP)-producing metastatic gastric adenocarcinoma diagnosed in the USA. Both HER2 overexpression ...
Cervical spine clearance in trauma patients is frequently guided by strict protocols, particularly when patients present with midline cervical tenderness or cannot be reliably examined. Although a ...
Abdominal aortic aneurysm (AAA) is an extremely rare condition in paediatric patients but can occur more frequently in patients with congenital connective tissue diseases such as Marfan syndrome or ...