Ash-leaf spots or naevus depigmentosus : a diagnostic challenge
Peri-implant galactocele following vacuum-assisted core biopsy of the breast : a cautionary tale
An unusual presentation of MEN2A
Brainstem cavernous malformation
An unusual foreign body in the nose of an adult
Fatal methotrexate toxicity : could it have been avoided?
Chorea gravidarum : a rarity in West still haunts pregnant women in the East
Antineutrophil cytoplasm antibody-positive pulmonary-renal syndrome in a patient with diffuse cutaneous systemic sclerosis
Thyroid neurofibroma in a female patient with neurofibromatosis type I : report of a case
Agitation after minor trauma : combativeness as a cardinal catatonic feature
Spontaneous intraperitoneal haemorrhage from short gastric artery avulsion secondary to forceful retching
Absolute constipation caused by sigmoid volvulus in a young man
Hyperparathyroidism caused by a functional parathyroid cyst
Chest pain in a 12-year-old girl with ulcerative colitis after therapy with mesalazine
Inadvertent left ventricular pacing through a patent foramen ovale : identification, management and implications for postpacemaker implantation checks
Anterior hip dislocation in conjunction with a stroke : a diagnosis not to miss
Resolution of an intracardiac mass with chemotherapy
Cardiogenic shock in a neonate
Successfully treated bilateral renal artery stenosis in a patient with coronary artery disease
Crown fracture of the mandibular second primary molars in a 4-year-old child
Streptococcus pneumoniae mycotic aneurysm with contiguous vertebral discitis treated by endovascular aortic repair and antibiotics
Spontaneous pneumothorax following caesarean section under spinal anaesthesia
Post-traumatic delayed onset pectoralis myospasm secondary to α-γ dysfunction
Unicentric Castleman's disease : an uncommon cause of posterior mediastinal mass
Bilateral axillary masses mimicking as accessory breast with multiple fibroadenoma and bilateral gigantomastia in HIV-positive patient
Rehabilitation of lost vertical dimension with cast post core and cast partial denture
Unilateral pulmonary artery agenesis with vertebral anomaly
Use of the AngioJet percutaneous thrombectomy system for the treatment of acute Budd-Chiari syndrome
Intracerebral haemorrhage, anticoagulation and mechanical heart valves : what should I do next?
Accessory tragus : a dentist's perspective
Aneurysmal coronary cameral fistula
Symptomatic hypocalcaemia secondary to PTH resistance associated with hypomagnesaemia after elective embolisation of uterine fibroid
Late Streptococcus bovis infection of total knee replacement complicated by infective endocarditis and associated with colonic ulcers
Spontaneous free floating carotid artery thrombosis
Mixed pyogenic and tuberculous liver abscess : clinical suspicion is what matters
Ruptured jejunal artery aneurysm
Recurrent non-aneurysmal subarachnoid haemorrhage in Takayasu arteritis : is the cause immunological or mechanical?
Anticoagulation-induced spontaneous intramural small bowel haematomas
Disturbance of motor development : a manifestation of stroke in early childhood
C1 fracture in a patient with a congenital cleft in the posterior arch : report on a failed conservative treatment
Two rare forms of hepatocellular carcinoma metastases
Cardiopulmonary complications in a patient with bezoar
Organising pneumonia in common variable immunodeficiency
Combination of Steven-Johnson syndrome and neuroleptic malignant syndrome following carbamazepine therapy : a rare occurrence
Contribution of brain MRI in a patient diagnosed with 2-hydroxyglutaric aciduria
Recurrent venous thrombosis in Ehlers-Danlos syndrome type III : an atypical manifestation
Tubercular retinal vasculitis
Acute myelitis associated with HCV infection
Primary oral tuberculosis in a sexagenarian female
Streptococcus agalactiae endogenous endophthalmitis
Lithobezoar, a rare cause of acute oesophageal obstruction : surgery after failure of endoscopic removal
Primary mesenteric lymphangioma in a young adult with intestinal malrotation and ‘counter-clockwise barber pole sign’
A 21-year-old woman with mediastinal mass and cardiac arrest
Asymptomatic non-union of capitate 14 years postfracture
Unusual breast neoplasm : primary breast lymphoma
Prenatal diagnosis of caudal dysplasia sequence associated with undiagnosed type I diabetes
Primary ileocaecal B-cell non-Hodgkin lymphoma (NHL) : a rare underlying cause of right iliac fossa pain
Diffuse perforated necrotising amoebic colitis with histoplasmosis in an immunocompetent individual presenting as an acute abdomen
Hepatic subcapsular haematoma in a premature newborn
Vertebra collapse due to primary amyloidosis causing neurological compromise
Hepatic myelopathy : an unusual neurological complication of chronic liver disease presenting as quadriparesis
Can lenalidomide play a role in the management of scleritis?
A case series of patients on chemotherapy with dyspnoea and pulmonary infiltrates
Growth of corneal epithelial cells over in situ therapeutic contact lens after simple limbal epithelial transplantation (SLET)
Sarcoidosis of the pancreas mimicking adenocarcinoma
Maxillofacial prosthesis in a palliative care for terminally ill patient with squamous cell carcinoma
Splenic injury after colonoscopy requiring splenectomy
Laparoscopic repair of adult Bochdalek's hernia
IgG4-related disease with atypical laryngeal presentation and Behçet/granulomatous polyangiitis mimicking features
Crohn's disease unmasked following etanercept treatment for ankylosing spondylitis
Chronic low back pain : block vertebra
Bilateral dens evaginatus (talon cusp) in permanent maxillary lateral incisors : a rare developmental dental anomaly with great clinical significance
How to exhaust your bone marrow
Self-inflicted long complex urethro-vesical foreign body : is open surgery always needed?
High-grade GI lymphoma presenting with diarrhoea
Altered mental status and fever
Mycobacterium bovis tenosynovitis
Personhood within the context of sedation at the end of life in Singapore
Aneurysmal bone cyst of thoracic spine : case report and brief review of literature
Management of a simple renal cyst in a complex patient
Advanced testicular cancer in a society of racial and socio-economic health disparity
Is non-operative management feasible for splenic injury due to colonoscopy?
An unusual aetiology for internuclear ophthalmoplegia
Congenital cyst in a rare localisation
Necrotising fasciitis of the thigh
Clinical presentation of left angular gyrus ischaemic lesion : finger agnosia, acalculia, agraphia, left–right disorientation and episodic autoscopia
Cold agglutinin-induced haemolysis in association with antinuclear antibody-negative SLE
Tumefactive demyelination : an unusual cause of a spontaneously resolving homonymous hemianopia
Acquired hepatocerebral degeneration
Bilateral consecutive optic neuropathy in a patient with thrombophilia
Dentin dysplasia type I
Lead intoxication and knee osteoarthritis after a gunshot : long-term follow-up case report
Successful simple limbal epithelial transplantation (SLET) in lime injury-induced limbal stem cell deficiency with ocular surface granuloma
Laparoscopically assisted repair of an acute traumatic diaphragmatic hernia
Craniopharyngioma and epidermoid tumour in same child : a rare association
The prolonged clotting time in two female patients with thromboangiitis obliterans
Unilateral movement disorder as a presenting sign of paediatric post-varicella angiopathy
Acute abdominal pain and diarrhoea in healthy adult
Fracture penis : a case more heard about than seen in general surgical practice
Unusual bronchial foreign body without atelectasis
Central nervous system relapse in a patient with acute promyelocytic leukaemia : does the risk stratification matter?
Left-sided appendicitis in children with congenital gastrointestinal malrotation : a diagnostic pitfall in the emergency department
Lightning can strike twice : an unlucky patient of neurological interest
Staphylococcal scalded skin syndrome
Congenital cytomegalovirus infection and finger anomaly
Acute phenytoin intoxication in a 4-year-old mimicking viral meningoencephalitis
L-2 Hydroxyglutaric aciduria presenting with anxiety symptoms
Retroauricular abscess from first bilateral branchial cleft sinus
The Norovirus epidemic…or just a stone? Revising the diagnosis with an abdominal radiograph
Refractory PMR with aortitis : life-saving treatment with anti-IL6 monoclonal antibody (tocilizumab) and surgical reconstruction of the ascending aorta
Rapidly enlarging skin lesion on the lip
Combination of AIDP and pyramidal signs associated with antecedent hepatitis A infection : a rare (co)occurrence
Management of refractory irritable bowel syndrome and comorbid mental ill-health : challenges, reflections and patient's perspective of life on the body–mind divide
Radiotherapy for a benign cause of cauda equina compression in a known case of breast carcinoma
Low-grade meningioma showing nearly equal density with spinal fluid on radiographic images
Normal functioning single system ectopic ureter draining into a Gartner’s cyst : laparoscopic management
Visual loss from scleritis in C-ANCA-positive microscopic polyangiitis
Primary extraskeletal Ewing's sarcoma/primitive neuroectodermal tumour of breast
Fixed functional space maintainer : novel aesthetic approach for missing maxillary primary anterior teeth
Glomus jugulare : high index of clinical suspicion is important for optimal management
A clinically hidden but severely destructive entity
‘Crohn'z meanz Heinz’ : foreign body inflammatory mass mimicking Crohn’s disease
A regenerative approach towards mucosal fenestration closure
What lies beneath
Unusually located left ventricular outflow myxoma : a brief review of the literature
Never too early for the opportunists!
Atypical histiocytic granuloma of tongue
Primary intraosseous squamous cell carcinoma : a devil in disguise
Aesthetic management of a complicated crown fracture : a multidisciplinary approach
Laryngospasm during extubation. Can nasogastric tube be the culprit?
Primary parapharyngeal and skull base synovial sarcoma in a 13-year-old boy with neurofibromatosis radiologically misdiagnosed as a benign lesion
Haemophagocytic lymphohistiocytosis mimicking septic shock after the initiation of chemotherapy for squamous cell sarcinoma of the neck
A rare case of transmigration of mandibular canine associated with an odontoma
Nebulised DNase post-therapeutic bronchoalveolar lavage in near fatal asthma exacerbation in an adult patient refractory to conventional treatment
Chasing the ACE of hearts
Percutaneous ablation of functioning adenoma in a patient with a single adrenal gland
Intravitreal ranibizumab in the management of stage 2B Coats disease in a young adult Malay man
The reversible cerebral vasoconstriction syndrome in association with venlafaxine and methenamine
Caecal volvulus : a consequence of acute cholecystitis
Cryptogenic organising pneumonia presenting with bilateral hilar and mediastinal lymphadenopathy
Melanoma of unknown primary origin presenting as a rapidly enlarging adrenal mass
Modified Nance palatal arch appliance for anterior tooth replacement
Acute mesenteric ischaemia with infective endocarditis : is there a role for anticoagulation?
Ocular argyrosis in a jeweller
Haemophilus parainfluenzae prosthetic valve endocarditis complicated by septic emboli to brain
Bleomycin-induced flagellate hyperpigmentation
Acute encephalopathy in familial hemiplegic migraine with ATP1A2 mutation
Bleomycin-induced flagellate dermatitis
Poor outcome associated with probable bilateral extracranial ICA vasospasm
Adenoid cystic carcinoma of buccal mucosa
Osler-Weber-Rendu syndrome during pregnancy
Cervical nodular fasciitis in a 17-month-old child
Immunoglobulin G4-related disease with scant tissue IgG4
Diagnostic value of anti-gp210 antibodies in primary biliary cirrhosis : a case-based review
Atrioventricular accessory pathway with anterograde decremental conduction property
Tubercular thyroid abscess
Successful treatment of pain in melorheostosis with zoledronate, with improvement on bone scintigraphy
Splinting with diastema closure as an adjunct to periodontal therapy
Condylus tertius and episodic vertigo : is there an association?
A prolonged altered mental status : is it absence status epilepticus?
Unusual presentation and location pleural malignant mesothelioma
Acute myocardial infarction following scorpion sting in a case with obstructive coronary artery disease
An asymptomatic orthodontic bracket in the mandibular alveolar bone region
Diagnosing peritoneal tuberculosis
Rachitic chest in a young adult male : Fanconi's syndrome—idiopathic type
Internal carotid dissection caused by an elongated styloid process (Eagle syndrome)
Mediastinal lipoblastoma : unexpected finding of a chest infection
Severe hyponatremia and MRI point to diagnosis of tuberculous meningitis in the Southwest USA
Use of C2 spinous process screw for posterior cervical fixation as substitute for laminar screw in a patient with thin laminae
Comet-tail artefacts and abdominal pain : radiological mistake or an underestimated event?
Horner's syndrome following a subtotal thyroidectomy for a benign nodular goitre
Aggressive secondary surgery for local recurrence of pancreatic cancer
Successful thrombolytic treatment of prosthetic mitral valve thrombosis
Brugada syndrome with elevated cardiac biomarkers
Thyroid associated orbitopathy
Abdominal pain and collapse in the emergency department
Spermatic cord liposarcoma : organ-sparing surgery
Persistent headache in a postpartum patient : the investigation and management
A rare cause of secondary hypertension : median arcuate ligament compression of the renal artery diagnosed by CT angiography
Massive lower gastrointestinal haemorrhage in a teenager caused by Campylobacter enteritis
Ring chromosome with deletion 7q in acute myeloid leukaemia
Rapid resolution of pulmonary Langerhans cell histiocytosis
Situs inversus totalis, oesophageal atresia and tracheo-oesophageal fistula
Diagnosis and management of a ruptured rudimentary horn pregnancy in a low-resource setting
Severe parainfluenza pneumonia in a case of transient hypogammalobulinemia of infancy
Pneumomediastinum secondary to mephedrone inhalation
Severe unconjugated hyperbilirubinaemia : one and one makes three?
A case of putty kidney without pulmonary tuberculosis
Stress urinary incontinence as a rare presentation of large prostatic stones in neurogenic bladder : implications and management
Lenticulostriate artery aneurysm presenting as primary intraventricular haemorrhage
Central pontine myelinolysis with meticulous correction of hyponatraemia in chronic alcoholics
Rare sites of delayed metastasis in renal cell carcinoma
Infection versus ALVAL : acute presentation with abdominal pain
Progressive neurological deficit in an HIV patient
Tension pneumocephalus after administration of two 0.25 mg cabergoline tablets in MEN1-related macroprolactinoma
Diffuse parenchymal lung disease caused by surfactant deficiency : dramatic improvement by azithromycin
Isolated III cranial nerve palsy : a surprising presentation of an acute on chronic subdural haematoma
Solid variant of papillary thyroid carcinoma in a 14-year-old girl
Maxillary adenomatoid odontogenic tumour
Ogilvie’s syndrome following caesarean section
Oral metastases from carcinoma of cervix
Concomitant acromioclavicular and miliary tuberculosis
Antiglycine receptor antibody and encephalomyelitis with rigidity and myoclonus (PERM) related to small cell lung cancer
Small cell gall bladder carcinoma complicated by syndrome of inappropriate secretion of antidiuretic hormone (SIADH) treated with mozavaptan
Primary malignant melanoma of uterine cervix with probable origin from benign cervical melanosis
Cerebral venous sinus thrombosis with parieto-temporal infarct in a young woman
Management of an infant having natal teeth
Beware of gossypibomas
Massive localised lymphoedema : a rare vascular malformation
Femoral arteriovenous fistula associated with calf pain 2 months after removal of a haemodialysis catheter
Golfer's swing leads to a spontaneous subcapsular liver haematoma
Adductor longus ruptures in elite sportsmen—pitfalls of surgical repair : a report of two cases
Taurodontism in deciduous molars
What kind of diagnosis in a case of mobbing : post-traumatic stress disorder or adjustment disorder?
Idiopathic intracranial hypertension and transverse sinus stenoses
Altered mental status and complete heart block : an unusual presentation of aspirin toxicity
Dabigatran, electrical cardioversion and measuring the aPTT. A safety measure or an unnecessary assessment?
Cardiac papillary fibroelastoma presenting as acute stroke
Eschar : an important clue to diagnosis
Isolated multiple invasive cardiac hydatid cyst
Sinus pauses and high-grade atrioventricular block in Albright's hereditary osteodystrophy with pseudopseudohypoparathyroidism
Inflammatory myopathy as the initial presentation of cryoglobulinaemic vasculitis
Neck abscess associated with a piriform fossa sinus tract in an adult
Freiberg's infraction
Perianal hair as an unusual presentation of non-classical congenital adrenal hyperplasia
Bimaxillary presentation of central ossifying fibroma : a unique aggressive entity
Harmonious functional and aesthetic correction of severe localised pregnancy-induced gingival enlargement associated with capillary haemangioma
Hodgkin's lymphoma preceded by haemophagocytic lymphohistiocytosis
Acute expansion of an asymptomatic posterior communicating artery aneurysm resulting in oculomotor nerve palsy
An unexpected difficult intubation in a patient with myasthenia gravis undergoing video-assisted transcervical thymectomy
Transient global amnesia and hippocampal foci of restricted diffusion
Hypoglycaemia begets hypoglycaemia
An unusual posterior fossa tumour in a young child
Laparoscopic fascial suture repair of parastomal hernia
L-2 Hydroxyglutaric aciduria presenting with status epilepticus
Unilateral parotid mass as an unusual presentation of lupus erythematosus profundus
Fatal re-expansion pulmonary edema in a young adult following tube thoracostomy for spontaneous pneumothorax
Multiple long-standing massive oral mandibular granuloma gravidarum (pregnancy tumour)
Intubating laryngeal mask airway combined to fibreoptic intubation in subglottic stenosis
Prophylactic decompression of extensor pollicis longus to prevent rupture
Diabetic ketoacidosis : an unusual presentation of acromegaly
Herpes simplex virus encephalitis involving the right thalamus
Syncope caused by coronary artery spasm without chest pain leading to ventricular fibrillation
Adenomatoid odontogenic tumour
A complementary component to atypical haemolytic uraemic syndrome
Skin rash and subconjunctival haemorrhage in an adult with pandemic H1N1 influenza
Pulmonary alveolar microlithiasis : a rare cause of right heart failure
Catatonia and parkinsonism as a sequelae of typhoid fever : a rare experience
An incidental case of asymptomatic intracranial foreign body on CT
Costal osteoid osteoma with chest pain
Herpes zoster
Uncontrollable haemorrhage following dabigatran prophylaxis
Von Meyenburg complexes mimicking metastatic disease at laparotomy for focal nodular hyperplasia
Restoration of fractured anterior permanent teeth using reference guide technique
Delayed presentation of diencephalic syndrome associated with leptomeningeal dissemination in a child
Cylindroma of the breast in a 72-year-old woman with fibrocystic disease first misdiagnosed as a malignant lesion in imaging studies
Proximal base stress fracture of the second metatarsal in a Highland dancer
Simultaneous radicular cyst and mucoepidermoid carcinoma in the maxilla : a diagnostic nightmare
A localised soft tissue and bone enlargement in an infant mandible
Super dominant left anterior descending artery with origin of both posterior descending artery and posterior left ventricular artery from septal branch
Diagnosis demystified : CT as diagnostic tool in endodontics
A lumpy appendix
Large functional benign endometroid cystadenofibroma of the ovary leading to endometrial cystic glandular hyperplasia and postmenopausal bleeding
Surgical intervention for adnexal masses during pregnancy
Bilateral knee extensor disruption in severe crouch gait
Dancing vegetations : Kocuria rosea endocarditis
Massive pulmonary embolus and a precariously positioned thrombus : teetering on a knife edge!
Mediastinal myelolipoma with leukocytosis
Vulvar adenocarcinoma : visual resemblance to a vulvar abscess
Rapidly lethal dermatomyositis associated with cutaneous lymphangitis carcinomatosa
Iliac crest bone graft donor site hernia : not so uncommon
Lungs on fire
Gorlin-Goltz syndrome : a rare case report
Florid osseous dysplasia
Beyond the stained back-drop
‘Bird-beak sign’ of left atrial thrombus : a guide to management
Simplified design and precautionary measures in fabrication of a feeding obturator for a newborn with cleft lip and palate
An unusual breast mass : primary synovial sarcoma
Urethral tumour : rare images of unaware entity
Rhabdomyosarcoma of spermatic cord in a 65-year-old man presenting as a groin swelling
Endovascular repair of a double-lumen dissecting aneurysm
Blind endovascular catheterization and direct access of an occluded superior ophthalmic vein for treatment of carotid cavernous fistula
Occlusion of M1 segment after superficial temporal artery-middle cerebral artery bypass in a giant M1 aneurysm with Onyx-34 injected via a double-lumen balloon under balloon inflation
Metal impaction : an unusual cause of dysphagia
Adolescent haematopyocolpos simulating appendicular abscess
Mycotic aneurysm : a rare and dreaded complication of infective endocarditis
Lymphangioma : surrounding the ovarian vein and ovary
Asymptomatic submitral aneurysm : an uncommon complication of a common disease
Successful management of native-valve Brucella endocarditis with medical therapy alone
Aggressive fibromatosis (desmoid tumour) of the head and neck : a benign neoplasm with high recurrence
Acrodermatitis enteropathica-like skin lesions in a neonate
Jejuno-jejunal intussusception : an unusual complication of feeding jejunostomy
Portal pyaemia secondary to open haemorrhoidectomy : need for prophylactic broad spectrum antibiotics