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 ...
Nutritional deficiencies are common after Roux-en-Y gastric bypass (RYGB) surgery. However, severe zinc deficiency is a ...
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 ...
A woman in her 60s with a history of atrial fibrillation, hypertension and dyslipidaemia was admitted to the Intensive Care ...
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 ...
A nulliparous woman in her 40s presented with abdominal pain and dyspnoea during the second trimester of pregnancy.
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 ...
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 ...
Rudimentary horn pregnancy (RHP) is a rare form of ectopic pregnancy that poses significant risks if not recognised early, as rupture can result in severe maternal morbidity. Early diagnosis is both ...
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 ...
A male child presented with complex abnormal head posture (AHP), characterised by a 35° left head turn and a 45° left head tilt. Orthoptic evaluation revealed orthotropia with full ocular motility and ...
Surgical management of gastric duplication cyst with respiratory epithelium in an asymptomatic child
Gastric duplication cyst (GDC) is a rare sub-type of enteric duplication cysts. Complete surgical excision is recommended due to potential risks of bleeding, perforation and malignant transformation.
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