Writing an Effective Case Report

Essential Components

The International Journal of Surgery recommends including "case report" in the title along with the specific focus area (presentation, diagnosis, technique, or outcome) 1
Select 3-6 keywords that identify key areas covered in the case (always include "case report" as one of the keywords) 2
Provide a concise summary (1-2 paragraphs) explaining why the case is unique or educational, and reference relevant medical literature and current standards of care 2
Include de-identified demographic details (age, sex, ethnicity, occupation, BMI if relevant) 1
Present relevant physical examination findings and other significant clinical findings 1
Detail all diagnostic methods used (physical exam, laboratory testing, imaging, histopathology) 2
Describe pre-intervention considerations and patient optimization measures 2
Report clinician-assessed and patient-reported outcomes with specific time periods 3
Document complications or adverse events in detail, including how they were managed 2
Analyze strengths, weaknesses, and limitations in your approach to this case 3
Include the patient's perspective on the treatments received when appropriate 3
State that informed consent was obtained from the patient 2
Include conflicts of interest, sources of funding, and ethics committee approval when required 3