Archive for October, 2008

Have you read our most accessed article?

October 31, 2008

To find out which are the most popular articles of the past 30 days, past year or of all time simply click on the most accessed articles tab found on the left hand column of the homepage (circled).

In case you were wondering, the unusual case of a young African female presenting a giant cutaneous horn was our most accessed JMCR article of the last 30 days.

This case is the first reported in literature of a cutaneous horn developing from a thermal burn scar. For clinical details and accompanying images, read the full case report here.


Qatar plastic surgery team report hand reconstruction techique

October 24, 2008

Cases Journal has today published the second case report from a Hamad Medical Corp surgical team in Qatar. The first case series spans a two year period in their plastic surgery unit in which they describe their experience of five thumb reconstruction cases as a result of avulsion injury in male labors.

The authors describe a technique that uses the skeletonized phalanx of the amputated thumb as a free cortical bone graft with its periosteum resulting in a “perfect skeleton”. For full surgical details and more high quality downloadable accompanying images, read the case report.

In the second case series the authors explore four case reports of successful replantation of multiple digits.


Salah and Khalid Cases Journal 2008 1:22   doi:10.1186/1757-1626-1-22

A, B: crush avulsion injury; C: Skelotinized bone. D: Marking the radial forearm flap & fixing the bone graft by two crossing K wires; E, F: Raising & setting the flap; G, H, I: Marking raising & setting the sensate island (littler flap); J, K, L: final result M: X-ray shows bone healing.

Cases Journal publishes its 250th case report today

October 21, 2008

Cases Journal is growing fast and we are pleased to announce the publication of our 250th case report this afternoon!

Browse through case reports from all areas of healthcare, or why not set up and store a search? With new case reports added every day, we also recommend you sign up for our free article alerts so you can keep up-to-date with brand new case reports.

Happy Open Access Day!

October 14, 2008

oad_120x240Today is the world’s first Open Access Day, and event to broaden awareness of open access publishing. Founded by SPARC (the Scholarly Publishing and Academic Resources Coalition), Students for FreeCulture, and the Public Library of Science, the day will feature live, worldwide broadcasts of events at 7:00 PM (Eastern and Pacific time), as well as many other events organised by participants worldwide.

Open access, enabling free download and reuse of published articles, is particularly important in medicine, where subscription barriers can mean clinicians don’t have access to up-to-date information on treatment and healthcare. With ever-increasing subscription costs, those outside of large institutions rarely have subscriptions to all relevant journals.

All articles published in JMCR and Cases Journal are of course completely free for anyone to download, and readers can reproduce the case reports (eg for teaching purposes) with no need to request permission. With many of our cases coming from developing nations, open access is essential for these case reports to reach the audience that needs them.

Support open access and our case report journals by publishing with us, and give your experiences a voice.

First report of filarial granuloma in the testes

October 6, 2008

A new case report recently published in Journal of Medical Case Reports reports the first case of a filarial granuloma in the tunica of the testes.

Testicular swelling is generally assumed to be malignant until diagnostic tools including ultrasound, physical exam, FBC and orchiectomy prove otherwise. This case reports the novel finding of a testicular swelling caused by a granuloma comprised of central adult filarial worm surrounded by epithelioid cells, lymphocytes and fibroblasts in the tunica of the lower pole.

It should be noted that infectious diseases such as filarial lesions and tuberculosis can mimic symptoms of malignant growths and should be given serious consideration during diagnosis, especially in areas of the world where such diseases are prevalent.

If you have seen an infectious disease mimicking the classic presentation of a malignancy, why not publish your case report with us for others to see?

JMCR has reached 500 case reports!

October 2, 2008

We are proud to announce that Journal of Medical Case Reports has published its 500th case report this week.  In a message to the press, Editor-in-Chief Professor Michael Kidd, said:

This is an important milestone for this new journal. Our journal is devoted to publishing reports about individual people. Reports which can serve as an early warning signal for the presentations of new and emerging diseases or the side effects of new medications. Reports which allow clinicians to share the experiences of their patients to support improving health care for everybody. I thank our readers, our authors, our reviewers, our editorial board and the staff of BioMed Central for their contributions to the success of this journal.

Congratulations to Felix JV Schlosser et al. on authoring the 500th case report (see this blog posting for more information)!

Remember, nominations for the BioMed Central 3rd Annual Research Awards are now open. Browse over 500 of our case reports and tell us which ones you think deserve an award here.

Editor’s pick by Michael Kidd: Our first meta-analysis of case reports

October 1, 2008

Case report
Predictors of adverse events after endovascular abdominal aortic aneurysm repair. A meta-analysis of case reports.
Felix JV Schlosser, Geert JMG van der Heijden, Yolanda van der Graaf, Frans L Moll, Hence JM Verhagen

This is one, if not the, first meta-analysis of case reports. While case reports do not provide strong causal evidence because they report only a small number of patients, case reports can provide relevant information, notably on long-term complications in the realm of patients actually seen and treated in daily practice.

This type of article can help to detect specific patterns of patient outcomes, particularly with regard to clinically important and rare adverse events and complications. Case reports may therefore offer valuable information about the mechanisms of the development of complications.

The aim of this study was to review which patient, disease or procedural characteristics predict complications after endovascular abdominal aorta aneurysm repair. The selection of case reports about patients with complications after this surgery may have resulted in a cohort of patients who are at high risk for complications, irrespective of the device or the procedure. Therefore, one may question whether these extraordinary patients may have brought the complications to the device or procedure. Although patients who were included in this study may represent the odd and extraordinary cases, they clearly are patients who are seen in practice. For ethical considerations and reasons of efficiency, these odd and extraordinary cases are generally excluded from randomised trials and cohort studies. The risk factors derived from the presented cohort of case reports are similar to those reported in prognostic cohort studies.  Hence, the results contribute to the robustness of the reported predictors.

Although a meta-analysis of case reports has some clear methodological drawbacks, it offers unique opportunities. The risk factors for complications after endovascular AAA repair that are presented in this document are similar to those that are presented in prognostic cohort studies. Female gender and the presence of comorbidities appear to increase the risk of mortality. Larger AAA diameter, higher age and multimorbidity at the time of surgery increase the risk for rupture and other complications following surgery. These risk factors deserve attention in future well-designed follow-up studies.

Professor Michael Kidd (pictured)
Journal of Medical Case Reports