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1998 articles

October 202624

Clinical ResearchHematology

Efficacy and safety of erythrocytapheresis in chronic mountain sickness: a randomised controlled trial protocol (ESCAPE-CMS).

This randomized controlled trial protocol investigates the efficacy and safety of erythrocytapheresis in patients with chronic mountain sickness (CMS), a condition affecting over 4 million individuals at high altitudes.

BMJ OpenOct 5, 2026Read summary
Case ReportGeneral Surgery

Incidental discovery of a massive primary retroperitoneal serous cystadenoma following trauma.

A woman in her 70s presented with severe abdominal pain after a fall. Imaging revealed a massive cystic lesion in the left retroperitoneum, which was confirmed to be a ruptured cyst.

BMJ Case RepOct 5, 2026Read case
Clinical ResearchNeurology

Bilateral gamma knife radiosurgery in severe essential tremor: a prospective trial.

This phase II prospective trial evaluated the safety and efficacy of staged bilateral Gamma Knife radiosurgery (GKS) of the ventral intermedius thalamic nucleus in 33 patients with severe essential tremor.

BrainOct 5, 2026Read summary
Case ReportEndocrinology

Iatrogenic Cushing's syndrome from an adulterated glucocorticoid-containing supplement.

A man in his 40s presented with rapid weight gain, fatigue, and signs of Cushing's syndrome, including abdominal striae and centripetal obesity.

BMJ Case RepOct 5, 2026Read case
Case ReportGastroenterology

Multisystem imaging findings as diagnostic red herrings in Wilson's disease.

A previously healthy man in his 20s presented with fever, cough, jaundice, and a right-sided pleural effusion. Initial tests revealed significant hepatic dysfunction, and imaging showed cirrhotic liver morphology…

BMJ Case RepOct 5, 2026Read case
Clinical ResearchCardiology

Home-based neuro-cardiac rehabilitation in congenital heart disease: the QUALINEURO-REHAB trial study protocol.

The QUALINEURO-REHAB trial is a multicenter, two-arm randomized controlled trial assessing a home-based neuro-cardiac rehabilitation program in youth aged 8-25 with complex congenital heart disease (CHD).

BMJ OpenOct 5, 2026Read summary
Case ReportPlastic Surgery

Boomerang-shaped extended latissimus dorsi flap for combined breast reconstruction and body contouring following massive weight loss.

A patient with a history of massive weight loss sought correction for her left-sided implant-based breast reconstruction, which had resulted in poor cosmetic outcomes and persistent pain.

BMJ Case RepOct 5, 2026Read case
Case ReportEndocrinology

Off-label palopegteriparatide for severe pediatric postsurgical hypocalcemia.

A 14-year-old boy with Graves’ disease developed profound hypocalcemia after total thyroidectomy, with serum calcium 5.9 mg/dL, ionized calcium 0.83 mmol/L, and undetectable parathyroid hormone.

Eur J EndocrinolOct 5, 2026Read case
Case ReportGastroenterology

Acute autoimmune hepatitis diagnosed concurrently with human immunodeficiency virus.

A woman in her 50s presented with jaundice and severe hepatocellular injury, later diagnosed with advanced HIV infection. Initial considerations included infectious hepatitis, but serology, imaging, and liver biopsy…

BMJ Case RepOct 5, 2026Read case
Clinical ResearchNeurology

Machine Learning and Deep Learning for the Diagnosis of Cervical Degenerative Diseases: Systematic Review and Meta-Analysis.

This systematic review and meta-analysis evaluated traditional machine learning (TML) and deep learning (DL) approaches for diagnosing cervical degenerative diseases, analyzing data from 30 studies involving 25,301…

J Med Internet ResOct 5, 2026Read summary
Case ReportMedical Genetics

Coarctation of the aorta as the presenting cardiovascular manifestation of Williams syndrome in an infant.

A male infant presented for pre-operative evaluation of a left inguinal hernia, during which discrete juxtaductal coarctation of the aorta was incidentally found.

BMJ Case RepOct 5, 2026Read case
Clinical ResearchCardiologyOpen access

Complexity of coronary artery disease in infarct-related cardiogenic shock and multivessel disease: a substudy of the DanGer Shock trial.

This study, a secondary analysis of the DanGer Shock trial, evaluated the prognostic significance of baseline and residual SYNTAX scores in 256 patients with multivessel disease and infarct-related cardiogenic shock.

EuroInterventionOct 5, 2026Read summary
Clinical ResearchCardiologyOpen access

Standardised versus visual assessment of device success after percutaneous coronary intervention.

This randomized controlled trial evaluated the alignment of operator-reported device success with standardized definitions using quantitative coronary angiography (QCA) in 1,548 patients undergoing percutaneous coronary…

EuroInterventionOct 5, 2026Read summary
Clinical ResearchGeneral Surgery

Impact of Side-to-Side Versus End-to-Side Gastrojejunostomy on the Rate of Delayed Gastric Emptying After Pancreatoduodenectomy (IPAD study): A Randomized Controlled Trial.

The IPAD study was a prospective, open-label randomized trial at two high-volume pancreatic centers in France, comparing side-to-side with end-to-side gastrojejunostomy in adults undergoing pancreatoduodenectomy for…

Ann SurgOct 5, 2026Read summary
Case ReportEndocrinology

Myxoedema coma in a patient with alcohol dependence: a diagnostic pitfall.

A man in his sixties with known hypothyroidism and alcohol dependence presented with profound hypothermia, refractory hypoglycaemia, hypoxia, and reduced consciousness.

BMJ Case RepOct 5, 2026Read case
Case ReportAnesthesiologyOpen access

Remimazolam ED95 for Preoperative Sedation in Children with Obstructive Sleep Apnea, with Obesity or a Reference-Range BMI: A Biased-Coin Dose-Finding Study.

Obesity may alter total-body-weight dosing of remimazolam, whereas obstructive sleep apnea narrows the respiratory safety margin.

Drug Des Devel TherOct 5, 2026Read case
Case ReportOphthalmology

Uveitis despite adalimumab therapy in Blau syndrome.

A middle childhood boy initially diagnosed with oligoarticular juvenile idiopathic arthritis presented with persistent arthritis, recurrent fever, and skin lesions.

BMJ Case RepOct 5, 2026Read case
Case ReportPediatrics

Comprehensive dental management of odontogenic infection and ankyloglossia under general anaesthesia in a medically complex child with intellectual disability.

A middle childhood child with moderate intellectual disability presented with pain and swelling in the right posterior mandibular area.

BMJ Case RepOct 5, 2026Read case
Case ReportInfectious Diseases

Fulminant multi-organ failure associated with cereulide-producing Bacillus cereus after consumption of improperly stored rice.

A previously healthy male in his 20s presented with generalized seizures and severe hypoglycemia after eating improperly stored reheated rice.

BMJ Case RepOct 5, 2026Read case
Case ReportDermatology

Cutaneous leukocytoclastic vasculitis with concurrent colitis of uncertain aetiology.

A female in her 20s presented with biopsy-confirmed cutaneous leukocytoclastic vasculitis and significant gastrointestinal symptoms, including recurrent rectal bleeding and abdominal pain.

BMJ Case RepOct 5, 2026Read case
Case ReportPediatrics

Cutaneous tumbu fly myiasis in a returning child traveller and a novel EMLA-assisted extraction technique in paediatric emergency care.

A toddler presented with cutaneous myiasis and cellulitis after traveling to Gambia, caused by Cordylobia anthropophaga. The case was managed using a novel non-operative technique involving eutectic mixture of local…

BMJ Case RepOct 5, 2026Read case
Case ReportObstetrics & Gynecology

Navigating the unexpected: management of incidental severe Factor V deficiency in term pregnancy.

A primigravida was found to have severe Factor V deficiency (<1% activity) during routine preoperative evaluation for an elective caesarean section, despite being asymptomatic and having no bleeding history.

BMJ Case RepOct 5, 2026Read case
Case ReportOncology (Medical)

Adrenal metastasis from papillary thyroid cancer: staged surgical resection.

A man in his 70s with a history of papillary thyroid carcinoma presented with recurrence in the right cervical lymph nodes and a right adrenal mass measuring 5.7×6.5 cm. A CT-guided biopsy confirmed metastatic disease.

BMJ Case RepOct 5, 2026Read case
Case ReportGastroenterology

Gastrointestinal manifestations of IgA vasculitis guiding treatment in an adult patient.

A man in his 20s presented with abdominal pain, post-prandial vomiting, a purpuric rash, arthralgia, and hypertension. Urine studies indicated subnephrotic range proteinuria, and colonoscopy revealed ileal ulceration.

BMJ Case RepOct 5, 2026Read case

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