Disseminated histoplasmosis presenting with chronic ulcerative tongue lesions in a patient with diabetes

Nicorandil-induced terminal ileal ulceration—a probable link

Dieulafoy’s lesion with intra-abdominal haemorrhage: a novel association

A large coronary arteriovenous fistula with MRI and angiographic images

Massive hypercoagulable state despite full-dose anticoagulant treatment in a patient with occult malignancy: considerations concerning chemotherapy without definitive diagnosis

Paraneoplastic sensorimotor neuropathy associated with regression of small cell lung carcinoma

Open partial splenectomy for trauma using GIA-Stapler and FloSeal matrix haemostatic agent

Hydroxocobalamin treatment of acute cyanide poisoning with a jewellery-cleaning solution

Novel POLG1 mutations in a patient with adult-onset progressive external ophthalmoplegia and encephalopathy

Cannabinoid hyperemesis

Tattoo pigment mimicking metastatic malignant melanoma in an axillary sentinel lymph node

Surgical treatment of a Morgagni hernia causing intermittent gastric outlet obstruction

Right thoracoabdominal stab injury penetrating the liver and gallbladder: case report and lessons in penetrating knife wounds to the chest and abdomen

Osteomyelitis of the pubic symphysis after spontaneous vaginal delivery

H pylori-induced thrombocytopenia in a Caucasian female: a case report

Elevated urinary catecholamines and adrenal haemorrhage mimicking phaeochromocytoma

A family with diabetes and heart failure

An ectopic pregnancy under the liver

A novel possible strategy for the management of petrol sniffing addiction in adolescents

Isolated astasia in acute infarction of the supplementary-motor area

A dangerous freshwater contact

Abnormal talk by a 14-year-old boy with hypersomnolence after a long-haul flight

Pneumatosis intestinalis presenting with a pneumoperitoneum in a patient with chronic bronchiectasis: a delayed diagnosis of superior mesenteric artery ischaemia

Ultrasound and CT imaging assessment of renal angiomyolipoma

An unusual association of corpus callosum agenesis in a patient with acromegaly

A series report of autoimmune hypothyroidism associated with Hashimoto's encephalopathy: an under diagnosed clinical entity with good prognosis

Diffusion and ADC-map images detect ongoing demyelination on subcortical white matter in an adult metachromatic leukodystrophy patient with autoimmune Hashimoto thyroiditis

Bitter pill to swallow: a case of accidental poisoning with digitalis purpurea

Glycogenic acanthosis presenting as leukoplakia on the tongue

Enterovirus—a double act

Primary epithelial splenic cyst with micro-rupture and raised carbohydrate antigen CA 19-9: a paradigm of management

Intractable positional borborygmi – an unusual cause diagnosed by barium contrast study

An atypical pneumococcal arthritis

Bilateral psoas abscesses and vertebral osteomyelitis in a patient with sickle cell disease

Coronary spasm: an unusual cause of ST elevation

Melanotic neuroectodermal tumour of infancy

A twist of fate with a turn of neck

Combined retinal detachment and candida chorioretinitis

A solitary rectal mucosa-associated lymphoid tissue (MALT) lymphoma

Gastric amyloidosis presenting with severe weight loss

Temporal lobe lesions and psychosis in multiple sclerosis

Role of levetiracetam in refractory seizures due to a rare progressive myoclonic epilepsy: Lafora body disease

Temporal abscess after tooth extractions

Cardiac arrest following an anaphylactic reaction to atracurium

Cerebrospinal fluid leak associated with nasal continuous positive airway pressure treatment for obstructive sleep apnoea

Smoke trails of a dying gut: portal and mesenteric vein gas

Fulminant hepatic failure in a patient with advanced extragonadal germ cell tumour

Haemoperitoneum caused by perforation of Meckel's diverticulum in a 5-year-old child

Salbutamol: beware of the paradox!

Multiple pulmonary micronodules in a patient with Crohn's disease

The magnetism of surgery: small bowel obstruction in an 8-year-old boy

Buried dermal flap for the treatment of chronic postoperative seroma

Tricuspid-valve repair for pacemaker leads endocarditis

Blunt carotid injury from a penetrating stick: an unexpected injury

Red eye in chickenpox: varicella-related acute anterior uveitis in a child

Antenatal management of pulmonary hyperplasia (congenital cystic adenomatoid malformation)

Teriparatide treatment complicated by malignant myeloma

Successful outcome of accidental ethylene glycol poisoning despite delayed presentation

Small bowel obstruction due to a spinal implant: a previously unreported cause of a common surgical presentation

Auditory neuropathy associated with postnatally acquired cytomegalovirus infection in a very preterm infant

Q fever: a case with a vascular infection complication

Lifting the veil: a case of lobar atelectasis

Traumatic epidural pneumorrhachis

A smoker with cyanosis and hypotension

Solitary plexiform neurofibroma, a pitfall in diagnosis of lipoma

A case of Horner's syndrome with epidural anaesthesia

Acute dacryoadenitis in Crohn's disease

Progressive tremors, paresis and a sudden locked-in state

An unusual surgical site infection in a liver transplant recipient

The striatocapsular infarction and its aftermaths

Spontaneous regression of focal nodular hyperplasia: a pathological report

Benign schwannoma of the tonsil

Organizing pneumonia in patients with severe respiratory failure due to novel A (H1N1) influenza

Primary pulmonary choriocarcinoma in a male

What works for delirious catatonic mania?

Appendico-colic fistula complicating appendicitis in cystic fibrosis

Hyponatraemia associated rhabdomyolysis following water intoxication

Tuberculous otitis media: a case presentation and review of the literature

Internal jugular phlebectasia in an African adult

A sheared stylet

Late onset group B streptococcal disease manifests as submandibular cellulitis

Clostridium difficile infection in the absence of a colon

Amplitude-integrated electroencephalography and MRI findings in a case of severe neonatal methicillin-resistant Staphylococcus aureus meningitis

Hydrocephalus communicans after traumatic upper cervical spine injury with a cerebrospinal fluid fistula: a rare complication

Two days with a broken knife blade in the neck – an interesting case of Horner's syndrome

Cerebrotendinous xanthomatosis associated with immune thrombocytopenia

A rare complication with a single dose of alendronate

Ineffective chronic illness behaviour in a patient with long-term non-psychotic psychiatric illness: a case report

Genital oedema associated with femoral central venous access in a premature baby

Respiratory failure was improved by growth hormone substitution in a patient with hypopituitarism

The pitfalls of protocols – a case of postpartum splenic artery aneurysm rupture

Abdominal pain and hyperamylasaemia—not always pancreatitis

Displaced stress fracture of the femoral neck in young active adults

Imaging of tumour-induced osteomalacia using a gallium-68 labelled somatostatin analogue

Cardiac hydatidosis presenting as an acute coronary syndrome

Septic disruption of lactiferous ducts with heterogeneous carcinoma of the breast in a lactating woman

Meningeal and brainstem infiltration by a malignant mesothelioma

Potentiation of warfarin's anticoagulant effect and subconjunctival haemorrhage with rivastigmine transdermal patch

Oesophageal ¹³¹I uptake in a patient with achalasia

Sarcoid myositis: a rare presentation

Cardiac involvement in Anderson–Fabry disease

Successful management of fulminant influenza A subtype H1N1 myocarditis

Moyamoya disease presented as a case of hemiplegic migraine

Spontaneous pneumomediastinum and subcutaneous emphysema in systemic lupus erythematosus

Amyloid disease and the danger of late diagnosis

Undiagnosed rectal tumour – a rare cause of obstructed labour in the second stage

Lost without Occam's razor: Escherichia coli tricuspid valve endocarditis in a non-intravenous drug user

Lymphogranuloma venereum and HIV infection: misdiagnosed as Crohn's disease

Viral encephalitis associated with pandemic 2009 (H1N1) influenza A

Pathological gambling from dopamine agonist and deep brain stimulation of the nucleus tegmenti pedunculopontine

Mycobacterium avium infection improved by microbial substitution of fungal infection

Management of tibial non-union with tricalcium phosphate and BMP 7

Dependence and psychosis with 4-methylmethcathinone (mephedrone) use

Multivisceral radical en bloc resection with spleen preservation in T4 gastric cancer

An adult norovirus-related encephalitis/encephalopathy with mild clinical manifestation

Unusual case of weakness in the UK

Acute non-immune hydrops fetalis caused by intrauterine echovirus infection

PET/CT imaging of metastatic Merkel cell carcinoma to the adrenal glands

Breast ‘rupture’ due to a phyllodes tumour

HSP or not HSP… that is the question

‘Silent’ but massive bilateral pulmonary embolic disease

Caput medusae

Bilateral posterior cerebral artery infarction

Direct invasion of the left atrium by a primary lung tumour

Cytomegalovirus infection in association with early onset pre-eclampsia

Simultaneous intracerebral haemorrhages; which came first, the supra-tentoral or the infra-tentorial one?

Haemorrhage of a cavernous haemangioma of the optic disc in pregnancy

Gastric ulcers and swollen kidneys: a rare diagnosis complicating Crohn's disease

Mesothelial cyst of the spleen in an adult: a case report

The results of early physiotherapy on a child with incontinentia pigmenti with encephalocele

A rare cause of oesophageal pigmentation

Difficulty in establishing a diagnosis in an uncommon presentation of a minor salivary gland tumour

Fell off of a horse – journey from Emergency Department to Stroke clinic

Tramadol poisoning with hyperamylasemia

A 95-year-old woman with leucocytosis and eosinophilia: anaplastic carcinoma in an ectopic thyroid

Reversed halo sign in cryptogenic organising pneumonia

Polyurethane foam pica in a patient with excessive interdialytic weight gain

Paroxysmal symptoms in multiple sclerosis masquerading as transient ischaemic attacks

The (re)generation of splenic tissue

Recurrent vasculitis in cystic fibrosis

A rare potentially treatable cause of bilateral optic disc swelling

Intrauterine contraceptive device with rectal perforation and strings presenting at the anus

An unusual cause of acute liver failure

Duplicated inferior vena cava with associated ilio-femoral deep vein thrombosis

Non-traumatic gas gangrene presenting as left buttock and thigh pain in a patient with metastatic non-small cell lung cancer

Myxoedema madness

Autosomal recessive polycystic kidney disease: the importance of autopsy of suspected cases and genetic counselling

Idiopathic granulomatous mastitis: a great imitator?

Moyamoya disease in which pentazocine treatment caused cerebral infarction

Amyand's hernia with perforated appendix in a neonate

How to survive an 11-storey fall

Severe folate-deficiency pancytopenia

Chest pain, breathlessness and ST elevation in a 21-weeks' pregnant woman: a diagnostic and management challenge

Arthroscopic identification of iliopubic and ilioischial grooves in a single adult acetabulum

Gallbladder visualisation after intravenous urography

Postpartum ovarian vein thrombosis presenting as ureteral obstruction

Left thyroid hemiagenesis in a patient with primary hyperparathyroidism

The first case of Plasmodium ovale malaria from Bangladesh

Spontaneous resolution of vitreomacular traction syndrome in a patient with diabetes with associated thickened posterior hyaloid prior to elective parsplanar vitrectomy demonstrated on optical coherence tomography

Dilated fetal bowel as indication for prenatal diagnosis of cystic fibrosis

Mycobacterium cosmeticum as an unusual cause of ascites

Primary signet ring cell carcinoma of gall bladder: report of an extremely rare histological type of primary gall bladder carcinoma

Renal tubular acidosis and superior mesenteric artery syndrome

Delayed tendon reflex (a video demonstration)

Observations and hypothesis on an individual patient topically treated for capecitabine-induced Palmar-Plantar syndrome

Clinical safety of 1500 mg oral naltrexone overdose

Paradoxical bradycardia in a patient with haemorrhagic shock secondary to blunt abdominal trauma

Cleft palate, arachnoid cyst and posterior urethral valve

Massive haematemesis due to strangulated gangrenous gastric herniation as the delayed presentation of post-traumatic diaphragmatic rupture

Kocher–Debré–Semelaigne syndrome

Let off the leash: kala-azar following the use of tumour necrosis factor antibodies

Methaemoglobinaemia due to mephedrone (‘snow’)

Jaundice following intravesical botulinum toxin – a previously unreported complication

A rare and life-threatening cause of pseudo-obstruction in two surgical patients

Incidental finding of an anterior sub-hepatic appendix during laparoscopic cholecystectomy

Atypical presentation of a giant spinal schwannoma

Sigmoid gallstone ileus: a rare cause of large bowel obstruction

A life-threatening complication of undiagnosed congenital idiopathic megacolon

Isolated tuberculous osteomyelitis of the scapula

Cardiac pheochromocytoma presenting during pregnancy

An unusual cause of a mediastinal mass

Aortic homograft endocarditis caused by Cardiobacterium hominis and complicated by agranulocytosis due to ceftriaxone

Miliary tuberculosis in a young Caucasian adult

Giant mesenteric lymphangioma: a rare cause of a life-threatening complication in an adult

A girl with type 1 diabetes and a yellowish appearance

Plasma cell myeloma diagnosed in pregnancy

Misplaced central venous catheter?

Skin ulcer presentation of Wegener's granulomatosis

An unusual cause of recurrent falls in an older gentleman

Nasendoscopy for unusual nasal symptoms

Internal laryngocoele and referred otalgia

Tricyclic antidepressant overdose: an unusual method of administration

Subaponeurotic or subgaleal fluid collections in infancy: an unusual but distinct cause of scalp swelling in infancy

Simultaneous onset of steroid resistant nephrotic syndrome and IDDM in two young children

Omalizumab for severe atopic keratoconjunctivitis

Insular thyroid carcinoma in a Filipino woman

Passage of intestinal (small bowel) cast – an unusual complication of neutropenic sepsis

The serotonin syndrome as a result of mephedrone toxicity

Mystery of a giant leg

A patient with oeosinophilic gastroenteritis and severe malnutrition improved with home parenteral nutrition

Primary hyperparathyroidism with classic and severe skeletal involvement

Gliomatosis presenting as a relative pupil-sparing third nerve palsy in a hypertensive diabetic

Osseous metaplasia of the endometrium

Spontaneous gastrosplenic fistula secondary to primary splenic lymphoma

An infected branchial cyst complicated by retropharyngeal abscess, cervical osteomyelitis and atlanto-axial subluxation

Splenic peliosis: an incidental finding

Left paraduodenal hernia: case report and review of the literature

Aberrant right subclavian artery and right-sided ductus arteriosus

Hydatid cysts of the lung

Neonatal incontinentia pigmenti

Pyoderma gangrenosum

D-dimer is elevated in acute aortic dissection

Bartonella henselae aortic valve endocarditis mimicking systemic vasculitis

Leptospirosis: a globally increasing zoonotic disease

Candida: an unexpected cause of the acute abdomen

Diverticulum of the midthoracic oesophagus and left diaphragmatic relaxation

First reported cases of gyrate atrophy of the choroid from Nepal

Iron deficiency in a male with multiple myeloma

A typical thymic carcinoid tumour within a thymolipoma: report of a case and review of combined tumours of the thymus

Late onset of subfoveal choroidal neovascularisation following cerebral radiotherapy

Cysticercal encephalitis with cortical blindness

10p for an angiogram: the cardio-oesophageal reflex

Reverse STAR for retrograde recanalisation in a chronic total coronary artery occlusion present for 21 years

Pulmonary arterial hypertension associated with neurofibromatosis type 1

Phyllodes tumour of the prostate posing diagnostic and therapeutic dilemmas

Single coronary artery presenting as angina

Nyctalopia: the sequelae of hypovitaminosis A

Hypoventilation: a risk factor for milk alkali syndrome?

Solitary fibrous tumour of the lower leg: an uncommon site with atypical histopathological features

Presacral schwannoma treated as irritable bowel syndrome