Cannonball shadow in the lungs and pulmonary embolism in a young man
Recurrent ventricular fibrillation under sufficient medical treatment in patient with coronary artery spasm
Herpes zoster ophthalmicus progressing to encephalitis
Ewing sarcoma of the adrenal gland
Ileocecal lipohyperplasia presenting as a chronic sideropenic anaemia
Cardiac amyloidosis masquerading as biventricular hypertrophy in a patient with multiple myeloma
Mosaic trisomy 13 and a sacral appendage
Carpal tunnel syndrome due to a plexiform neurofibroma of the median nerve in a neurofibromatosis type 1 patient
Intracardiac thrombosis in polycythemia vera
Unusual cause of menorrhagia
Huntington’s disease masquerading as spinocerebellar ataxia
Familial Mediterranean fever without fever as a cause of monoarthritis
Severe neonatal complication of transverse lie after preterm premature rupture of membranes
The importance of monitoring feeding tubes in mucous fistulae
Chilaiditi syndrome
Necrotising fasciitis of odontogenic origin
Acute psychosis as a presentation of hypopituitarism
Aspiration thrombectomy in concert with stent thrombectomy
Cutaneous metastases secondary to colorectal carcinoma may not be as ominous as previously thought
Difficulty with learning of exercise instructions associated with ‘working memory’ dysfunction and frontal glucose hypometabolism in a patient with very mild subcortical vascular dementia with knee osteoarthritis
Rotavirus-infected children with clinically mild encephalopathy with a reversible splenial lesion (MERS)
Internal resorption
Tenofovir-related Fanconi’s syndrome and osteomalacia in a teenager with HIV
Primary perivascular epithelioid cell tumour (PEComa) of the liver
Spontaneous triple coronary artery dissection in a 78-year-old woman resolved angiographically with anticoagulation and medical management
Upper gastrointestinal bleeding in cirrhosis
Use of IABP in contrast media-induced anaphylactic shock
Entrapment of the lateral cutaneous nerve of the calf
Paget-Schrotter syndrome and complications of management
Unilateral swollen optic disc
Ischaemic diverticular disease may mimic acute appendicitis
Rarity revisited
Testicular epidermoid cysts
Acute visceral obstruction
Nodular pulmonary sarcoidosis presenting as acute chest pain
Magical NiTi expander
High dose thiamine improves fatigue in multiple sclerosis
Radicular cyst of primary tooth associated with maxillary sinus
Catatonic schizophrenia
Fracture tooth fragment reattachment
Patient with rheumatoid arthritis on methotrexate with multiple infecting organisms causing gastritis
Reversible retinopathy associated with oral deferasirox therapy
Vitamin supplementation
Neonatal lupus with atypical cardiac and cutaneous manifestation
Do not forget the contralateral side
Hepatic visceral larva migrans
Posterior reversible encephalopathy syndrome with documented hyponatraemia
Subacute liver failure secondary to black cohosh leading to liver transplantation
Exsanguinated uterus after massive atonic postpartum haemorrhage
Sleep-related psychosis
Cardiac involvement as the main presenting feature in eosinophilic granulomatosis with polyangiitis
Asymptomatic lunotriquetral coalition
Synchronous breast and colon cancer
Ellis-van Creveld syndrome
New onset refractory status epilepticus (NORSE) as the heralding manifestation of herpes simplex encephalitis
Acquired vascular malformation in ruptured caesarean section scar
Cerebral venous thrombosis due to cryptogenic organising pneumopathy with antiphospholipid syndrome worsened by heparin-induced thrombocytopenia
Two cases of rare benign mucosal lesions of the stomach
Hybrid peripheral ameloblastoma of cheek mucosa
A simple and inexpensive retainer for overdenture prosthesis
Ring-enhancing lesions in the brain and spinal cord
‘Occam's Scissors’
Successful treatment of soft tissue radionecrosis injury with hyperbaric oxygen therapy
Propriospinal myoclonus
A ‘crowned’ epiglottis
Intravitreal ranibizumab in choroidal neovascularisation due to multifocal choroiditis and panuveitis syndrome
Successful treatment of disseminated mucormycosis in a neutropenic patient with T-cell acute lymphoblastic leukaemia
Actinomyces naeslundii and Eikenella corrodens as rare causes of liver abscesses
Rapidly progressive foot drop
Skull base osteomyelitis presenting with an isolated hypoglossal nerve palsy
Anaphylactic shock and cardiac arrest caused by thiamine infusion
Bleeding from oesophageal varices in pregnancy
The potential for antimicrobials to adversely affect mental state
What is in? Pneumoperitoneum after sexual intercourse
Paraoesophageal omental hernia
T-condylar fractures of the distal humerus in children
The silver man
‘Golden Kernels within the skin’
In-hospital herpes simplex encephalitis after open heart surgery
Left ventricular non-compaction presenting with heart failure and intramural thrombus
Progressive multifocal leukoencephalopathy in a patient with Good’s syndrome
Late presentation of TAPVC with multiple cerebral abscesses
Failure of anti-TNF therapy to reactivate previously septic prosthetic joints
Successful retrieval of a fractured and embolised Judkin's catheter during a coronary angiogram
The ischaemic ECG
Not your usual diarrhoea
A left atrial mass in a patient with atrial fibrillation and previous renal cancer
Disabling bony ankylosis of hip, knee and axial spine in a neglected patient of ankylosing spondylitis
Unicompartment compartment syndrome following laparascopic colonic resection
Cementifying fibroma
Central giant cell granuloma
Gestational hypertrophy of the breast
Treatment of superficial siderosis with iron chelation therapy
‘Popeye the Sailor’
Solitary fibrous tumour of the pleura masquerading as catecholamine-secreting paraganglioma
Neonatal obstructed Treitz’s hernia with abdominal cocoon simulating volvulus neonatorum
Jung's archetype, ‘The Wounded Healer’, mental illness in the medical profession and the role of the health humanities in psychiatry
An unusual nasopharyngeal foreign body with unusual presentation as nasal regurgitation and change in voice
Bilateral renal cell carcinoma in a paediatric patient with tuberous sclerosis complex
First permanent molar root development arrest associated with compound odontoma
A surprise behind a case of winter vomiting virus
Marin-Amat syndrome
Acute lymphocitic leukaemia and AIDS
Catastrophic antiphospholipid syndrome in childhood
Cutis verticis gyrata as a clinical manifestation of Touraine-Solente-Gole’ syndrome (pachydermoperiostosis)
Acute disseminated encephalomyelitis following infectious mononucleosis in a toddler
Perineal scar endometriosis
Pyopneumopericardium and empyema thoracis from perforated oesophageal cancer
Charcot-Marie-Tooth syndrome and neurofibromatosis type 1 with multiple neurofibromas of the entire spinal nerve roots
Speech aid prosthesis
Adrenal inflammatory myofibroblastic tumour
Neuroleptic malignant syndrome associated with haloperidol use in critical care setting
Yet more knots in the radial artery, unravelling purely by counter clockwise rotation
Solitary lumbar osteochondroma presenting with spinal cord compression
Coronary ectasia
Auricular pseudocyst in a woman
Severe thrombocytopenia due to hypersplenism treated with partial splenic embolisation
Sinus pericranii in a young adult with chronic headache
Laughter-induced syncope
Keratinous inclusion cyst of oesophagus
Radiographic illusion of cardiomegaly resulting from a pulmonary blastoma in a patient imaged for evaluation of chronic bronchitis
Discordant U waves in the setting of hyperkalaemia
Xanthomatous oophoritis following uterine artery embolisation
Intramucosal nevus of buccal mucosa in a male child
Atypical hemifacial spasm due to vertebral artery dolichoectasia
What should I know before ordering a bone marrow aspiration/biopsy in patients with vitamin B12 deficiency?
Acute dystonia mimicking angioedema of the tongue
Paediatric recurrent herpetic whitlow
An unusual cause of constipation in a 72-year-old man with a rising creatinine
Neonatal prolapsed patent vitellointestinal duct
Brugada electrocardiographic findings in an 80-year-old man
Presentation of solitary caecal diverticulitum imitating acute appendicitis
Intratracheal inflammatory myofibroblastic tumour mimicking severe acute asthma
Skin rash in a patient with infectious mononucleosis
Spine and scapular pain
Disorder of sex development as a diagnostic clue in the first Spanish known newborn with P450 oxidoreductase deficiency
New development of cardiac tamponade on underlying effusive–constrictive pericarditis
Successful treatment of mobile right atrial thrombus and acute pulmonary embolism with intravenous tissue plasminogen activator
Diagnosis of a left lower pulmonary vein thrombus by 64-MDCT
Covered stents may provide extra protection during carotid artery stenting in high risk patients with an excessive thrombus burden
How to find a thrombus in a small pulmonary vein that is not enhanced by contrast agents because of a lack of arterial blood flow
An unusual cause of a haemorrhagic stroke
An unusual presentation of posterior fossa ependymoma in a child
A pedoprosthetic rehabilitation in patients with severe early childhood caries (S-ECC)
Imatinib in neurofibromatosis type 2
Ameloblastic fibroma
Intracranial tuberculoma in motor cortex
Adenomatoid odontogenic tumour in mandible in a 14-year-old boy
Hybrid in situ replacement for Samson group V Staphylococcus aureus aortic graft infection
Tuberculosis verrucosa cutis in a patient with keloid over ear lobule
Allogenous tooth fragment reattachment
Diagnosing psoriatic arthritis of the temporomandibular joint
Primary aortic thrombus in young
Severe eyelid oedema in Graves’ ophthalmopathy
Tissue regeneration mesh reinforcement during abdominoplasty for severe myoaponeurotic laxity after pregnancy
A complication of Artificial Urinary Sphincter
Spinal osteomyelitis due to Mycobacterium fortuitum in a former intravenous drug user
A popliteal aneurysm with upper thigh extension
Epiploic appendagitis with acute appendicitis
Upper oesophageal foreign body with acute respiratory distress
Aesthetic acceptance equals to nature’s compensation plus surgical correction
Drug reaction with eosinophilia and systemic symptoms (DRESS) syndrome secondary to antituberculosis drugs and associated with human herpes virus-7 (HHV-7)
Giant frontal intraparenchymal schwannoma
Temporal skin folds in a female infant with an unbalanced translocation with breakpoints Xq22.1 and 6p22.3
Brainstem tuberculosis
Fountain of steroid from an ectopic ACTH-producing tumour
‘Smoking left atrium’
Renal arteriovenous malformation
Facial asymmetry
Cyscicerci in the longus colli in disseminated cysticercosis
Primary orbital chronic granulomatous reaction to deep staphylococcal infection due to trauma in immunocompetent
The use of cannabinoids in chronic pain
Adrenal crisis in a patient with acute myeloid leukaemia
Bilateral macrostomia
Tracheobronchopathia osteochondroplastica
Cold-induced urticaria
Erasmus syndrome with pulmonary tuberculosis
Intestinal obstruction secondary to adhesions in an infant with cystic fibrosis
An unusual oro-naso-sinus communication resulting from heroin and cocaine snorting
Delayed presentation of ACE inhibitor-induced angio-oedema
Phantom tumour of the lung
Congenitally corrected transposition of the great vessels associated with morphological right ventricular non-compaction presenting with supraventricular tachycardia
CT and MRI findings of renal infestation by a huge active hydatid cyst
Addison's disease and its associations
Nocardia pneumonia in an HIV-infected neonate presenting as acute necrotising pneumonia
Management of large segmental tibial defects using locking IM nail and absorbable mesh
Successful catheter directed thrombolysis in postpartum deep venous thrombosis complicated by nicoumalone-induced skin necrosis and failure in retrieval of inferior vena caval filter
Capillary haemangioma in a 13-year-old boy
Capsular warning syndrome
Reflex gelastic–dacrystic seizures following hypoxic–ischaemic encephalopathy
Uterine torsion mimicking supine hypotension syndrome after regional anaesthesia
Neurological improvement following reinstitution of a low phenylalanine diet after 20 years in established pnenylketonuria
Haemorrhagic stroke or hyperglycaemia?
Confusion after starting citalopram in a renal transplant patient
Pseudomonas aeruginosa intrapetrous internal carotid artery mycotic aneurysm—a complication of mastoiditis
Renal metastasis of an ovarian granulosa cell tumour inducing growth of a cystic nephroma
Cardiac tamponade
Bilateral radix entomolaris with primary and permanent mandibular first molars
Lancisi sign
Post-traumatic basal ganglia haemorrhage in a child with primary central nervous system lymphoma
Acute respiratory failure in a rapidly enlarging benign cervical goitre
Supernumerary teeth in primary dentition
Unilateral single-rooted primary mandibular first molar
Opera glass hands
Unconventional prosthodontics for the aesthetic rehabilitation of discoloured rotated maxillary central incisor
Pulmonary artery catheter coiled in the main pulmonary artery trunk
Scapular bone destruction
Epulis fissuratum
The retrieval of the diagnostic catheter which broke and embolised twice
Aspiration of a speaking valve
Neonatal-perforated appendix forming antibioma masquerading as duodenal duplication
Acute primary herpetic gingivostomatitis
Mesenteric ischaemia with massive hepatic portal venous gas
A misdiagnosed burn
A neonate with facial asymmetry
The adult Tillaux fracture
Multiple glomuvenous malformations presenting in a child
Intracranial aneurysm arising from infundibular dilation
A rapid increase in the normal white cell counts without blasts as the initial presentation of T-cell acute lymphoblastic leukaemia
Giant aneurysm of right sinus of valsalva in a HIV-infected patient with extrapulmonary tuberculosis
Surgical management of iatrogenic perforation in maxillary central incisor using mineral trioxide aggregate
CD34-negative solitary fibrous tumour resistant to imatinib
Pleuroperitoneal leak in a peritoneal dialysis patient
Back pain in a previously healthy teenager
A traumatic case of fat embolism
Foreign body mimicking a herpes simplex dendritic ulcer in the cornea
An unusual foreign body in the eye
Sepsis mimicking thyroid storm in a patient with methimazole-induced agranulocytosis
A foreign body of the larynx misdiagnosed as vocal cord paralysis
Sun, iron, alcohol and intrinsic liver disease
Mauskopf facies
Orbital apex tumour caused by chronic lymphocytic leukaemia
Stone in ureterocele peeping through ureteric orifice
ACE inhibitor-induced intestinal angio-oedema
Synchronous colorectal neoplasms in ulcerative pancolitis of 6 years duration
An innovative technique to restore velopharyngeal incompetency for a patient with cleft lip and palate
Familial ectodermal dysplasia
Giant vulvar basal cell carcinoma
Non-pancreatic retroperitoneal pseudocyst
Mediterranean spotted fever with involvement of the gastrointestinal tract
Fever of unknown origin and the role of Plasmodium vivax in Sao Paulo
The combination of pure oesophageal atresia with an associated missed H-type tracheo-oesophageal fistula
An exceptionally large giant lipoma of the hand
Dens invaginatus type II associated with an impacted mesiodens
SACRAL syndrome
Management of type 1 diabetes mellitus using in vitro autologous adipose tissue trans-differentiated insulin-making cells
Relapsing fevers and lymphadenopathy in a young woman
Treatment of maxillary central incisor with external root resorption using mineral trioxide aggregate
Gelatinous bone marrow transformation secondary to unusual eating habits and drastic weight loss
Basidiobolomycosis a mysterious fungal infection mimic small intestinal and colonic tumour with renal insufficiency and ominous outcome
Truth under a masquerade!
Ileal atresia secondary to antenatal strangulation of Littre's hernia in an exomphalos minor
An unusual cause of acute abdominal pain in a young man
‘Mend the bend’
Laparoscopic reduction of ileoileal intussusception in Henoch-Schönlein purpura
Snowboard, wakeboard, dashboard? Isolated fracture of the lateral process of the talus in a high-speed road traffic accident
Collet-Sicard syndrome as a result of unilateral carotid artery dissection
A non-progressive signet patient with ring cell gastric adenocarcinoma who survived for 6 years without treatment
Sarcoidosis patient
Pancreatic transection as a result of a high-pressure water jet injury
Inferior gastroschisis
Primary ovarian non-Hodgkin's lymphoma
Olfactory dysfunction as first presenting symptom of cranial fibrous dysplasia
Chronic hepatitis C therapy
Massive splenomegaly