This case describes a presentation of a patient with clinical features of acromegaly, elevated growth hormone (GH) concentrations, a pituitary adenoma but with normal insulin-like growth factor-1 (IGF ...
Castleman’s disease is a rare lymphoproliferative disorder with a variable presentation ranging from no clinical symptoms to fever and fatigue. We report a case of a male in his 30s who presented to ...
A woman in her 50s with Factor V Leiden and recent surgery with history of multiple right-sided deep venous thromboses not on anticoagulation due to a prior bleeding complication presented with acute ...
A pregnant woman at 32 weeks’ pregnancy presented to the Emergency Department with cardiopulmonary arrest requiring active cardiopulmonary resuscitation and perimortem caesarean section. Operative ...
Nutritional deficiencies are common after Roux-en-Y gastric bypass (RYGB) surgery. However, severe zinc deficiency is a ...
Young children often present with sharp foreign body (FB) ingestion. While the risk of complications is low when the FB is urgently removed, perforation of the gastrointestinal tract may lead to ...
Metastatic melanoma without an identifiable primary lesion presents a unique diagnostic challenge and raises consideration of immune-mediated regression or non-cutaneous tumour origin. We describe the ...
Poorly differentiated neuroendocrine transformation from metastatic upper tract urothelial carcinoma
Neuroendocrine carcinomas of the genitourinary tract, though rare, are highly aggressive tumours with limited treatment options. The pathogenic mechanisms underlying the progression from urothelial ...
Postmenopausal bleeding (PMB) raises significant concern in women, as it may signal early uterine malignancy. Consequently, all episodes of PMB require thorough investigation. Approximately 60–80% of ...
We describe a case of a young man with metastatic cancer whose predominant symptom burden was pain caused by both recurrence of his primary sarcoma and the metastatic deposits in different bones of ...
A female in her 70s was referred to the endocrine surgery unit with a 22 mm right thyroid nodule that was incidentally identified on CT. Cytology from an ultrasound-guided fine needle aspirate ...
Striated muscle hamartomas are rare, benign malformations of disorganised but mature striated muscle fibres. This case report presents a congenital striated muscle hamartoma (CSMH) in a primary school ...
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