Large dermoid cyst of the left hip
Stump appendicitis
Non-syndromic hereditary gingival fibromatosis
Atypical carcinoid presenting as dumb-bell-shaped tumour in the normal kidney
Ischaemic stroke secondary to paradoxical emboli through an arteriovenous malformation of the lung in a patient with known breast cancer
A benign cancer with malicious paraneoplastic syndromes
Reactive perforating collagenosis in two siblings
Prenatal diagnosis of i(18q) and dup(18q) cases by quantitative fluorescent PCR
Biliary stent migration causing perforation of the caecum and chronic abdominal pain
Inflammatory abdominal aortic aneurysm
Acute chorea-dystonia heralding diabetes mellitus
Pituitary apoplexy initially mistaken for bacterial meningitis
Secondary atlanto-odontoid osteoarthritis with osteoradionecrosis of upper cervical spine mimicking metastasis
Eosinophilic cystitis
Disseminated solitary fibrous tumour of the lung and pleura
Relieving the burden
Hypertrophic osteoarthropathy and congenital heart disease
Benzocaine-induced methaemoglobinaemia
Mononeuritis multiplex in a patient with B-cell prolymphocytic leukaemia
Aneurysmal bone cyst of temporal bone
An unexpected positive hypersensitive reaction to eugenol
Living without left atrium
A newborn internal and external malformations
A new syndrome
Loeffler's endocarditis with biventricular mural thrombi
Laparoscopic resection of a large hepatic cyst compressing the inferior vena cava
Apathetic syndrome from carotid dissection
Pramipexole induced psychosis in a patient with restless legs syndrome
Bilateral femoral fractures in a 21-year-old man following a simple fall
Osler's nodes, Janeway lesions and splinter haemorrhages
Rickets in the Tropics
Wearable cardioverter defibrillator in stress cardiomyopathy and cardiac arrest
Capsule endoscopy
Corticosteroid treatment buys time in case of a newly diagnosed hypophysitis with visual deterioration
Radiation-induced intracranial meningioma and multiple cavernomas
Simultaneous bilateral spontaneous pneumothoraces
Lung adenocarcinoma
Mature teratoma of the thymus
Non-cardiac causes of cardiac tamponade
Laparotomy for perforated small bowel from ingested paperclips
Progressive external ophthalmoplegia (PEO) due to a mutation in the C10orf2 (PEO1) gene mimicking a myasthenic crisis
Two similar cases of internal hernia after laparoscopic Roux-en-Y gastric bypass surgery
Uncontrolled hyperglycaemia
A comorbid case of multicentric Castleman's disease and pulmonary hyalinising granuloma successfully treated with tocilizumab and corticosteroid
Intact neurological outcome after neurointerventional treatment for intracranial venous thrombosis with straight sinus involvement
Unusual presentation of two Chinese phenylketonuria sisters who were misdiagnosed for years
Cryptococcal lymphadenitis
The cold-fingered carpenter
Postpartum spontaneous pneumomediastinum ‘Hamman's syndrome’
Acute urinary retention in an adolescent girl and important learning points
Complete radiographic remission with 5-fluorouracil and leucovorin after sorafenib failure in hepatocellular carcinoma
A necrotising ulcer after rescuing a kitten
Small bowel evisceration through the anus in rectal prolapse in an Indian male patient
Pain and fracture after anterior cruciate ligament reconstruction caused by giant cell tumour of the distal femur
Tuberculous gumma
Pauses…what pauses?
A stepwise approach to ‘groin pain’
An unusual recurrence of dysembroplastic neuroepithelial tumours after a seizure-free period of 8 years
Profound first-degree atrioventricular block
Toxic epitheliopathy from a single application of preservative free oxybuprocaine (0.4%) in a patient with Sjogren's syndrome
A young 20-year-old woman with an atypical tuberculin reaction
Cellular non-specific interstitial pneumonia masquerading as congestive heart failure
A novel treatment for management of a trapped placenta using intracervical nitroglycerin tablets
Giant intracranial calcification associated with new onset focal seizure
Facial and neck hematoma after carotid artery stenting
Mechanical endovascular procedure for the treatment of acute ischemic stroke caused by total detachment of a papillary fibroelastoma
Delayed ischemic stroke following spontaneous thrombosis of an arteriovenous malformation
Deep venous structures distortion in spontaneous intracranial hypotension as an explanation for altered level of consciousness
Successful treatment of extensive cerebral venous sinus thrombosis using a combined approach with Penumbra aspiration system and Solitaire FR retrieval device
Childhood dermatomyositis recurring in adulthood half a century later
Infiltrating angiolipoma of the cheek
Bilateral auricular classic Kaposi's sarcoma
A variation of vasculopathies in a patient with mild pulmonary artery hypertension
Primary penile melanoma with an incidental renal oncocytoma
Simultaneous bilateral spontaneous pneumothoraces in a patient with occupational asthma
Desmoplastic ameloblastoma of mandible
Rheumatic mitral stenosis simulating double-orifice mitral valve
A rare large symptomatic simple hepatic cyst
Primary signet ring cell carcinoma of the lung
Herpes zoster mandibularis
An unusual case of peripartum pulmonary oedema
Hepatic heterotopia in congenital diaphragmatic anomaly
Atypical features in a patient with acute promyelocytic leukaemia
Renal infarction due to spontaneous dissection of the renal artery
Cardiac tamponade following traumatic rupture of a mediastinal mature teratoma
Bilateral tubo-ovarian abscess and sepsis caused by Salmonella in patients with systemic lupus erythematosus
Profound jaundice in a patient with acute hepatitis C
Water under the bridge
Intravitreal bevacizumab as an adjunct in the management of a vascular choroidal granuloma
Dystypia in acute stroke not attributable to aphasia or neglect
Seeing the unseen
Osteoma of temporomandibular joint
Actinomycosis mimicking sinonasal malignant disease
Renal aspergillosis secondary to renal intrumentation in immunocompetent patient
Correction
What about temperature? Haloperidol-induced hypotermia
Myocarditis along with acute ischaemic cerebellar, pontine and lacunar infarction following viper bite
Isolated unilateral absent patella and contralateral small patella
Just another negative DVT?
Red herring vaginal discharge
Non-typeable Haemophilus influenzae infective endocarditis in a renal transplant recipient
Helicobacter pylori associated vitamin B12 deficiency, pernicious anaemia and subacute combined degeneration of the spinal cord
An important complication of a child with juvenile idiopathic arthritis
Hyponatraemia induced hyperCKaemia
EBV-associated colonic B-cell lymphoma following treatment with infliximab for IBD
Vein of Galen malformation presenting as persistent pulmonary hypertension of newborn (PPHN)
Acute pancreatitis and severe hypertriglyceridaemia masking unsuspected underlying diabetic ketoacidosis
Metastasis of diffuse hepatocellular carcinoma to an extremely unusual site
Basaloid squamous cell carcinoma of oral cavity with incongruent clinical course
Primary colorectal non-Hodgkin’s lymphoma in a retropositive patient
Bilateral optic neuropathy in a patient with familial amyloidotic polyneuropathy
Fahr's disease
Small cell carcinoma of the oesophagus
Catastrophic antiphospholipid syndrome (CAPS) induced by influenza A virus subtype H1N1
A 52-year-old-male patient with metastatic non-small-cell lung cancer and recurrent venous thromboembolism in unusual sites despite anticoagulation
Complex partial status epilepticus in a patient with Crohn's disease
Perianal Paget's disease
You are too brash if you ignore the rash
Postexertional harlequin syndrome with spontaneous improvement
Small bowel obstruction after hand-assisted laparoscopic sigmoid colectomy for cancer
Stretching the indications
Correction
Hutch diverticulum presenting as acute urinary retention in early life
Robotic-arm stereotactic radiosurgery as a definitive treatment for gelastic epilepsy associated with hypothalamic hamartoma
Peliosis hepatis
Lessons learnt from managing an avulsion fracture of the tibial tubercle extending into the tibial physis
Sarcoid panuveitis associated with etanercept treatment, resolving with adalimumab
Angioneurotic oedema secondary to oral thiamine
Cholecystoduodenal fistula in a patient post-Roux-en-Y gastric bypass
Toxic shock syndrome related to Streptococcus equi subsp zooepidemicus
Hepatic hydrothorax in the absence of ascites
Bilateral Malphigian bulge or pseudohernia simulating inguinal hernias in a case of spontaneous descent of bilateral undescended testis
Hypoxic hepatitis and acute liver failure in a patient with newly onset atrial fibrillation and diltiazem infusion
Ataxia
Coexistence of seizure episodes and symptomatic sinoatrial arrest occurring in two sisters suggests an underlying cardioneuronal channelopathy
Pycnodysostosis with novel gene mutation and severe obstructive sleep apnoea
Bilateral striopallidodentate calcinosis secondary to postsurgical hypoparathyroidism
Remember kerion celsi
Is this an exacerbation of asthma? A cautionary tale
Ancient schwannoma mimicking a thyroid mass with retrosternal extension
Visual failure in the elderly and dysphagia
Paradoxical air embolism following central venous catheter removal
Coexistence of scleroderma with multiple myeloma
The calcium sign of aortic arch dissection
Closing left gastroschisis with vanishing left testis
Lateral talonavicular dislocation after low-energy trauma
Silent destruction of aortic and mitral valve by Klebsiella pneumoniae endocarditis
Shiga toxin producing E coli bloodstream infection secondary to Strongyloides penetration through intestinal mucosa
Complex sacral fracture
Different diffusion-weighted MRI findings in brainstem neuro-Behçet’s disease
Multiple and superimposed Mongolian spots
Virchow's node
A rare association of cerebral dural arteriovenous fistula with venous aneurysm and contralateral flow-related middle cerebral artery aneurysm
Black urine after medicinal foot baths
Giant penile elephantiasis after circumcision
Accidental finger ischaemia induced by epinephrine autoinjector
Challenges in imaging and histopathological assessment of a giant cell tumour with secondary aneurysmal cyst in the patella
Shaking head means “no”
Large anterior urethral calculus presented as scrotal mass with urethrocutaneous fistula
What is this? VT versus SVT
Endoscopic adhesiolysis for extensive tibialis posterior tendon and Achilles tendon adhesions following compound tendon rupture
A compound odontoma in the path of an erupting incisor
Refractures of the paediatric forearm with the intramedullary nail in situ
The case of the missing wrist
Tubercular thyroiditis with multinodular goitre with adenomatous hyperplasia
Total deglovement of the fourth digit due to ring avulsion injury
Long-lasting response to crizotinib in brain metastases due to EML4-ALK-rearranged non-small-cell lung cancer
Unilateral calf hypertrophy and focal myositis induced by S1 radiculopathy
Small bowel carcinoid
Giant thoracic mass
Hypereosinophilic syndrome associated with ulcerative colitis presenting with recurrent Loeffler’s endocarditis and left ventricular thrombus treated successfully with immune suppressive therapy and anticoagulation
Uterine duplicity without communication between both hemiuteri and cervicovaginal atresia
Hemophagocytic syndrome with atypical presentation in an adolescent
Left-sided Poland's syndrome in a girl with rare associations like spina bifida and diaphragmatic hernia
‘Monod’ and ‘air crescent’ sign in aspergilloma
Cytomegalovirus-induced colonic stricture presenting as acute intestinal obstruction in an immunocompetent adult
Spinal epidural abscess in brucellosis
Ameloblastoma
Rapid recovery of membrane cofactor protein (MCP; CD46) associated atypical haemolytic uraemic syndrome with plasma exchange
Atypical blood and bone marrow lymphocytes in ALK-positive anaplastic T-cell lymphoma
Evidence for cytomegalovirus-induced haemophagocytic syndrome in a young patient with AIDS
The catastrophic basilar artery occlusion
Lethal liquorice lollies (liquorice abuse causing pseudohyperaldosteronism)
Airway management concerns in patient with gastric banding procedures
Acute liver injury secondary to sertraline
A patient with Loeys-Dietz syndrome treated with chemoradiotherapy for an oropharyngeal carcinoma
Spinal ependymoma complicated by superficial siderosis
Natural resolution of a herniated lumbar disc
A heart on the right can be more complex than it first appears
Isolated bilateral oculomotor nerve palsies due to a midbrain cavernous malformation
Lung cancer underlying paravertebral abscess with intramedullary spinal cord metastases
Staged interventional and surgical management for complex low birthweight tetralogy of Fallot
Rare causes of persistent wheeze that mimic poorly controlled asthma
Upper cervical cord enterogenous cyst mimicking transient ischaemic attacks
Ring-shaped thrombus in left atrial appendage
Therapeutic pulmonary artery stenting for metastatic bronchial carcinoid
Eosinophilic enteritis
Acquired esophagobronchial fistula without Ono's sign and with unusual cause
Two interesting cases of tracheobronchial foreign bodies
Hepatocellular carcinoma in a young man with resting and postural tremors
Congenital anterior mediastinal teratoma causing severe airway compression in a neonate
Epidermolysis bullosa and congenital pyloric atresia
Non-syndromic brachydactyly, known as Shamoji-yubi or Mamushi-yubi in Japan
Postural orthostatic tachycardia syndrome (POTS)
Giant cerebellopontine angle schwannoma in a child
Retained faecolith
Devastating complication of silver nitrate instillation for the treatment of chyluria
A bizarre object to swallow
Study in pink...rash!
A giant angiokeratoma of Fordyce
Essential palatal tremor with hemifacial and vocal cord tremor
Ring-enhancing pontine lesion in a young boy
Isolated oculomotor nerve palsy due to common carotid artery occlusion
A 39-year-old woman with spots covering her body
Beware of what you eat
Diltiazem-induced palmar desquamation and oral erosions