Non-bacterial thrombotic endocarditis (NBTE) denotes the presence of sterile non-infective vegetation on structurally normal, or subtly degenerate cardiac valves and is often associated with advanced malignancies. In gynaecological cancer in particular, NBTE has been most commonly associated with ovarian cancer.1,2 Here we report a rare but interesting case of NBTE in a patient with locally advanced cervical adenocarcinoma.

Trifocal fracture of a radius is a rare injury. Trifocal factures involving the shaft of a radius were previously mentioned in a few literature. This type of fractures, involving proximal, shaft, and distal radius with ulna shaft fracture, has also been reported once. However, to the best of our knowledge, our report is the first describing trifocal injuries affecting the shaft and proximal and distal intraarticular part of the radius with an intact ulna shaft. Thorough clinical and radiological assessments are necessary for diagnosis as these injuries are commonly missed. We would like to share the presentation of this rare case and the importance of the correct management to achieve a good outcome.
Radius