BMJ Case Reports英国医学杂志病例报告
BMJ Case Reports(英文缩写 BMJ CASE REP),ISSN 1757-790X,eISSN 1757-790X,中文译名:英国医学杂志病例报告 是一本学术期刊。本页汇总该期刊的最新影响因子、分区信息以及最新收录于 PubMed 的文献,帮助您快速了解期刊全貌。
发文量统计区间：2025-09-28 至 2026-09-28，按本站收录文献的发表日期统计。
期刊介绍
BMJ Case Reports 最新收录文献
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1. Salvaging a submental flap.
PMID:日期:2026-09-24Surgery for oral malignancies is usually followed by reconstruction of the defect. Free flaps remain the ideal choice for reconstruction, but advocating for it may not be possible in all circumstances. The submental artery-based island flap (SMIF) is a well-known local flap for its high reliability, versatility and arc of rotation; however, venous congestion is a major reason for its failure.A 50-year-old man underwent surgery for carcinoma gingivobuccal sulcus, which involved reconstruction of the oral defect with SMIF. The flap developed venous congestion 17 hours following surgery. The flap was immediately re-explored and could be salvaged. There was no flap loss or recipient/donor site morbidities during follow-up.Immediate re-exploration of the submental flap, undergoing venous congestion, can prevent a flap loss. Close monitoring for flap changes is mandatory in the immediate postoperative period for SMIF, especially for those with altered venous drainage.
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2. Management of mandibular AOT: outcomes following combined treatment protocol.
PMID:日期:2026-09-24This case presents an incidental finding of a rare mandibular adenomatoid odontogenic tumour (AOT) in a patient who reported to the outpatient department seeking orthodontic treatment for misaligned teeth. The patient showed facial asymmetry with a painless, expansile swelling in the anterior mandible. Radiographic examination revealed a well-defined radiolucent lesion containing an impacted canine, consistent with the follicular variant of AOT. Following diagnostic biopsy, the lesion was surgically enucleated and the impacted canine removed. Postoperatively, the patient underwent 10 daily sessions of hyperbaric oxygen therapy (HBOT) at 2.2 ATA (atmospheres absolute) for 90 min each. Follow-up evaluations at 6 months and 1 year demonstrated progressive bone healing and complete resolution of the swelling. The case highlights an atypical presentation of AOT in the mandible and demonstrates the potential benefits of HBOT as an adjunctive treatment to enhance tissue healing following surgical management of benign odontogenic tumours.
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3. Congenital lymphangioma circumscriptum of the abdominal wall presenting in adulthood.
PMID:日期:2026-09-24Lymphangioma circumscriptum is a rare lymphatic malformation that most commonly involves the head and neck region. We report a woman in her early 20s presenting with congenital clusters of vesicular lesions confined to the anterior abdominal wall. Complete excision of the affected skin and subcutaneous tissue was performed, with no recurrence and a satisfactory cosmetic outcome at the 6-month follow-up.
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4. Solitary circumscribed neuroma of the mucocutaneous eyelid margin.
PMID:日期:2026-09-24Solitary circumscribed neuroma (SCN), also known as a palisaded encapsulated neuroma, is characterised by a firm dome shape. These lesions are most commonly located in the head and neck regions near mucocutaneous junctions in adult patients. To date, SCN has rarely been reported on the eyelid. Clinically, these tumours present as slowly growing papules, often exhibiting a polypoid appearance. Histologically, they consist of Schwann cell and axon overgrowth and may be surrounded by a perineural capsule. Differential diagnosis should include other neural tumours associated with systemic conditions, such as neurofibromatosis and multiple endocrine neoplasia type 2b. In the presented case, the lesion was painless and histopathologic examination revealed a partially circumscribed, non-encapsulated dermal spindle cell proliferation, positive for S100. The tumour was successfully excised and there has been no evidence of recurrence to date. This represents a rare occurrence of SCN on the eyelid.
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5. Recurrent hydronephrosis and catheter blockage, secondary to an organised bacterial mass within the bladder.
PMID:日期:2026-09-24We present a frail man in his 80s with a medical history of hypertension, oesophageal cancer (2018), chronic kidney disease stage 3, hiatus hernia and a long-term catheter. He was admitted with urosepsis and repeated catheter blockages. Imaging confirmed bilateral hydronephrosis secondary to a large gas-containing bladder mass. Operative removal of the amorphous mass was performed and microbiological analysis revealed the presence of microorganisms consistent with and Our patient has recovered well and has been discharged back to residential care. We have found a few similar reported cases.
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6. Proximal femoral nail antirotation complication presenting as isolated barrel migration after intertrochanteric fracture fixation.
PMID:日期:2026-09-24A woman in her 50s with a comminuted intertrochanteric femoral fracture, including an avulsed lesser trochanter fragment, underwent fixation using a proximal femoral nail antirotation device.Immediate postoperative imaging demonstrated acceptable positioning indices, although reduction was in mild varus alignment with only partial cortical apposition.
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7. Takayasu arteritis manifesting as pyrexia of unknown origin and massive splenomegaly.
PMID:日期:2026-09-24Takayasu arteritis (TA) is a rare large-vessel granulomatous vasculitis predominantly affecting young women. We report the case of a male patient in his early 20s presenting with a three-month history of pyrexia of unknown origin (PUO), significant weight loss, a left carotid bruit and massive splenomegaly, culminating in a diagnosis of Type V TA. The presentation was atypical in several respects: prolonged high-grade fever, marked splenomegaly and male sex are all uncommon in TA.CT angiography demonstrated concentric mural thickening with stenotic involvement of the aorta and its major branches. In conjunction with markedly elevated inflammatory markers, a diagnosis of Type V TA was established. The patient became apyrexial with resolution of constitutional symptoms following initiation of immunosuppressive therapy. This case highlights the imperative to consider TA in atypical clinical contexts, including male sex, PUO and massive splenomegaly. It underscores the value of systematic vascular evaluation in unexplained chronic pyrexia.
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8. Accessory cavitated uterine mass presenting as refractory dysmenorrhoea: a diagnostic challenge.
PMID:日期:2026-09-24A woman in her 20s presented with severe progressive dysmenorrhoea that began within 1-2 years of menarche, was refractory to medical therapy and required repeated emergency department visits for parenteral analgesia. Ultrasonography suggested a uterine leiomyoma, whereas MRI demonstrated a unilateral haemorrhagic cavitated intramyometrial lesion without communication with the endometrial cavity, raising suspicion for a non-communicating Müllerian anomaly. Diagnostic laparoscopy revealed a small cavitated intramyometrial mass beneath the right round ligament with minimal pelvic endometriosis. Complete laparoscopic excision was performed while preserving the endometrial cavity. Histopathological examination confirmed an accessory cavitated uterine mass. The patient experienced complete resolution of dysmenorrhoea and remained asymptomatic at 6-month follow-up.
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9. Long-term natural history of spontaneous closure of a full-thickness macular hole in retinitis pigmentosa.
PMID:日期:2026-09-24We report 18 years of follow-up in a middle-aged Caucasian woman with retinitis pigmentosa (RP) and a non-tractional full-thickness macular hole (FTMH). The case was initially reported after 3 years of observation; this update provides a further 15 years of follow-up and, to our knowledge, represents the longest documented natural history of spontaneous FTMH closure in RP.At presentation, spectral-domain optical coherence tomography (SD-OCT) demonstrated a right-eye FTMH without vitreomacular traction. The patient elected conservative management with serial monitoring. The FTMH subsequently closed spontaneously, leaving a stable lamellar configuration that has remained anatomically unchanged without recurrence for almost two decades. Visual acuity gradually declined, likely due to progressive retinal degeneration and cataract progression, while OCT confirmed long-term foveal stability.This case demonstrates that spontaneous closure of a non-tractional FTMH in RP, although rare, can remain stable in the long term, supporting careful observation in selected patients.
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10. Microvascular decompression for long-standing oculomotor nerve palsy due to compression by fetal-type posterior communicating artery.
PMID:日期:2026-09-24Acquired oculomotor nerve palsy is most commonly due to microvascular ischaemia, while symptomatic non-aneurysmal neurovascular compression remains exceedingly rare and often underdiagnosed. We report the case of a woman with a 2-year history of left-sided ptosis and binocular horizontal diplopia. Imaging revealed a neurovascular conflict secondary to a fetal-type posterior communicating artery. Conservative treatments failed, and the patient underwent microvascular decompression (MVD) via a left pterional approach. Decompression was achieved using a dural sling affixed to the internal carotid artery with an aneurysm clip. Postoperative recovery was rapid, with resolution of symptoms by the third week. This case highlights the need to consider neurovascular compression in unexplained or apparent idiopathic third nerve palsy, even years after symptom onset. It also demonstrates that MVD can be effective even in long-standing cases.