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Abera MT, Fetene MB, Kassa NB, Yaynishet YA, Tefera TG, Hailu SS. Intraocular tuberculosis masquerading as ocular tumor: A case report. Radiol Case Rep 2024; 19:1949-1955. [PMID: 38434778 PMCID: PMC10909611 DOI: 10.1016/j.radcr.2024.02.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2023] [Revised: 02/04/2024] [Accepted: 02/06/2024] [Indexed: 03/05/2024] Open
Abstract
Tuberculosis is one of the most common pediatric problems, especially in the developing world. In spite of that, intraocular tuberculosis is a rare disease that can easily be confused with other noninfectious processes, even in regions where tuberculosis is rampant. Diagnosis is difficult, yet it is very important to provide effective antituberculosis treatment and avoid potentially sight-losing interventions. We present a case of a 2-year-old child with a positive contact history of tuberculosis who presented with progressively worsening seizures and constitutional symptoms for 6 months. Brain computed tomography revealed right frontotemporal region conglomerated ring-enhancing lesions with central necrosis consistent with tuberculosis. On the same scan, a calcified right retinal lesion with a contrast-enhancing soft tissue component was identified. A chest radiograph and abdominal sonography showed evidence of disseminated tuberculosis. Subsequently, antituberculosis treatment was initiated, and the right retinal lesion improved, thus leading to the imaging diagnosis of right intraocular tuberculosis. Early and accurate diagnosis of retinal tuberculosis is of paramount importance in avoiding potentially catastrophic interventions. Neuroimaging is a useful, noninvasive method to consider this difficult diagnosis and also for follow-up.
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Affiliation(s)
| | - Misganaw Badege Fetene
- Addis Ababa University, College of Health Sciences, Department of Radiology, Addis Ababa, Ethiopia
| | - Nibretu Bekele Kassa
- Addis Ababa University, College of Health Sciences, Department of Radiology, Addis Ababa, Ethiopia
| | - Yodit Abraham Yaynishet
- Addis Ababa University, College of Health Sciences, Department of Radiology, Addis Ababa, Ethiopia
| | - Tesfaye Gizaw Tefera
- Addis Ababa University, College of Health Sciences, Department of Radiology, Addis Ababa, Ethiopia
| | - Samuel Sisay Hailu
- Addis Ababa University, College of Health Sciences, Department of Radiology, Addis Ababa, Ethiopia
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Abera MT, Abdela AF, Hailu SS. Rare presentation of a rare disease: Bilateral congenital lobar overinflation. Radiol Case Rep 2024; 19:1496-1502. [PMID: 38283738 PMCID: PMC10810743 DOI: 10.1016/j.radcr.2024.01.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2023] [Accepted: 01/03/2024] [Indexed: 01/30/2024] Open
Abstract
Congenital lobar overinflation is a rare but well-recognized congenital cause of neonatal and infantile respiratory distress. At times, the condition can mimic other congenital or acquired diseases and have atypical distribution and imaging patterns. Lobectomy of the involved lobe(s) is curative. We present our experience with 3 surgically confirmed cases of congenital lobar overinflation. Referral papers, patient's charts, including operation notes, and radiographic records were reviewed. All of them were initially misdiagnosed or underdiagnosed based on the initial radiographic examination alone. All 3 were referred to our center with respiratory distress, and the first 2 were treated with antibiotics prior to the settlement of their diagnosis. Chest computed tomography was key in diagnosing all 3 cases. The first patient was a 10-day-old neonate diagnosed with bilateral congenital lobar overinflation. The second patient was a 2-month-old infant diagnosed with right middle lobe disease. In these 2 cases, the initial assessment of the vascularity was atypically excessive in the affected lobe(s). Eventually, correlation with typical concurrent imaging features and the clinical condition of the patients led to the correct diagnosis. The third case was a 4-month-old infant with left upper lobe congenital lobar overinflation. All cases underwent successful surgical treatment. Congenital lobar overinflation is a rare anomaly, and multiple-lobe involvement is even rarer. Vascularity within the affected lobes is a subjective assessment that can be overestimated, leading to confusion, and a feature that needs correlation with other common imaging features and the clinical course of patients.
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Affiliation(s)
| | - Abubeker Fedlu Abdela
- Department of Radiology, Addis Ababa University, College of Health Sciences, Addis Ababa, Ethiopia
| | - Samuel Sisay Hailu
- Department of Radiology, Addis Ababa University, College of Health Sciences, Addis Ababa, Ethiopia
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Yaynishet YA, Fayisa ST, Dencha BA, Hailu SS. Tibial Adamantinoma: A Case Report from a Resource-Limited-Setting. Int Med Case Rep J 2024; 17:221-225. [PMID: 38559496 PMCID: PMC10979669 DOI: 10.2147/imcrj.s440401] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2023] [Accepted: 03/12/2024] [Indexed: 04/04/2024] Open
Abstract
Introduction Adamantinoma is an infrequent, low-grade malignant bone tumor, predominantly affecting the tibia and often presents diagnostic challenges due to its nonspecific radiographic characteristics. Case Presentation A 55-year-old military personnel, with no history of trauma, who presented with a one-year history of right leg swelling and pain. Radiological examination showed right anterior tibial, mid diaphyseal lytic expansile lesion with internal trabeculations and excisional biopsy led to the diagnosis of adamantinoma. Below knee amputation was done as a definitive management. Conclusion Despite diagnostic challenges adamantinoma presents, the patient was referred to oncology and underwent amputation, underscoring the importance of considering adamantinoma in differential diagnosis for persistent bone lesions.
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Derbew HM, Otero HJ, Zewdneh D, Hailu SS, Darge K. Establishing pediatric radiology in a low-income country: the Ethiopian partnership experience. Pediatr Radiol 2024; 54:392-399. [PMID: 37462762 DOI: 10.1007/s00247-023-05713-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/12/2023] [Revised: 06/22/2023] [Accepted: 06/23/2023] [Indexed: 03/01/2024]
Abstract
In 2008, a partnership between the academic pediatric radiology department at the Children's Hospital of Philadelphia in the USA and the radiology department at Tikur Anbessa Specialized Hospital in Ethiopia, was established. The partnership aims to support pediatric radiology education during radiology residency and to establish pediatric radiology subspeciality training in Ethiopia. In this paper, we review the needs that elicit this type of partnership, its structure, achievements, challenges and future state as a successful roadmap to the establishment of a high-impact subspeciality program in a bilateral partnership.
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Affiliation(s)
- Hermon Miliard Derbew
- Department of Radiology, The Children's Hospital of Philadelphia, Philadelphia, PA, 19104, USA.
- Department of Radiology, College of Health Science, Addis Ababa University, Addis Ababa, Ethiopia.
| | - Hansel J Otero
- Department of Radiology, The Children's Hospital of Philadelphia, Philadelphia, PA, 19104, USA
- Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
| | - Daniel Zewdneh
- Department of Radiology, College of Health Science, Addis Ababa University, Addis Ababa, Ethiopia
| | - Samuel Sisay Hailu
- Department of Radiology, College of Health Science, Addis Ababa University, Addis Ababa, Ethiopia
| | - Kassa Darge
- Department of Radiology, The Children's Hospital of Philadelphia, Philadelphia, PA, 19104, USA
- Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
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Hailemariam T, Bekele AK, Manyazewal T, Solomon DZ, Gorfu Y, Shiwarega Z, Getinet T, Wole M, Solomon S, Hailu SS. Diagnostic accuracy of barium enema versus full-thickness rectal biopsy in children with clinically suspected Hirschsprung's disease: A comparative cross-sectional study. Health Sci Rep 2024; 7:e1798. [PMID: 38196566 PMCID: PMC10774491 DOI: 10.1002/hsr2.1798] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2023] [Revised: 10/10/2023] [Accepted: 12/17/2023] [Indexed: 01/11/2024] Open
Abstract
Background and Aims Hirschsprung's disease (HSD) remains a common cause of pediatric intestinal obstruction. Barium contrast enema (BE) is the primary imaging modality for the evaluation of clinically suspected cases. Here, we aimed to assess the diagnostic accuracy of BE in children with clinically suspected HSD when compared to a gold standard full-thickness rectal biopsy (FTRB). Methods We recruited and consecutively enrolled children with clinically suspected HSD at two tertiary teaching hospitals. Participants underwent BE imaging and two radiologists interpreted the findings independently. Participants further underwent FTRB by pediatric surgeons as the confirmatory test. Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and receiver operating characteristics (ROC) with the area under the curve (AUC) were calculated on Stata version 14.2, taking FTRB as the standard. Results We enrolled 55 cases, of which 49 completed the evaluation and were included in the final analysis. The median age was 9.4 months (interquartile range: 2-24], with a male-to-female ratio of 4.4:1. The sensitivity, specificity, PPV, and NPV of BE were 0.95 (95% confidence interval [CI] [0.81-0.99]), 0.73 (95% CI [0.39-0.94]), 0.92 (95% CI [0.82-0.97]), and 0.80 (95% CI [0.50-0.94]), respectively. On AUC, the diagnostic accuracy of BE compared to the confirmatory FTRB was 0.84 (95% CI [0.69-0.98]). The diagnostic accuracy was higher in neonates (ROC: 1.00) when compared to infants (ROC: 0.83) or those above 1 year of age (ROC: 0.798). HSD-suggestive BE findings were associated with absence of ganglion cells on FTRB (χ 2 = 23.301, p < 0.001). Inverted rectosigmoid ratio and transition zone were more sensitive in detecting HSD of 0.92 (95% CI [0.74-0.98]) and 0.81 (95% CI [0.63-0.92]), respectively. Conclusion BE is sufficiently accurate in the diagnosis of children with HSD, suggesting BE would likely be used to inform surgical management in settings where confirmatory biopsy is lacking. However, clinical judgment is warranted in interpreting negative BE findings.
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Affiliation(s)
- Tesfahunegn Hailemariam
- Department of Radiology, College of Health SciencesAddis Ababa UniversityAddis AbabaEthiopia
- Center for Innovative Drug Development and Therapeutic Trials for Africa (CDT‐AFRICA), College of Health SciencesAddis Ababa UniversityAddis AbabaEthiopia
| | | | - Tsegahun Manyazewal
- Center for Innovative Drug Development and Therapeutic Trials for Africa (CDT‐AFRICA), College of Health SciencesAddis Ababa UniversityAddis AbabaEthiopia
| | - Daniel Zewdneh Solomon
- Department of Radiology, College of Health SciencesAddis Ababa UniversityAddis AbabaEthiopia
| | - Yocabel Gorfu
- Department of Radiology, College of Health SciencesAddis Ababa UniversityAddis AbabaEthiopia
| | | | - Tewodros Getinet
- School of Public HealthSt. Paul's Hospital Millennium Medical CollegeAddis AbabaEthiopia
| | - Meti Wole
- Department of Internal MedicineArmed Forces Comprehensive Specialized HospitalAddis AbabaEthiopia
| | - Samrawit Solomon
- School of Public HealthSt. Paul's Hospital Millennium Medical CollegeAddis AbabaEthiopia
| | - Samuel Sisay Hailu
- Department of Radiology, College of Health SciencesAddis Ababa UniversityAddis AbabaEthiopia
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Hailu SS, Derbew HM, Hailemeriam T. Generalized arterial calcification of infancy in a neonate with acute kidney injury: A rare case report. Radiol Case Rep 2023; 18:3376-3379. [PMID: 37502478 PMCID: PMC10369390 DOI: 10.1016/j.radcr.2023.07.019] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2023] [Revised: 07/06/2023] [Accepted: 07/08/2023] [Indexed: 07/29/2023] Open
Abstract
Generalized arterial calcification of infancy (GACI) is a rare condition characterized by diffuse arterial calcification within the internal elastic lamina associated with intimal proliferation leading to stenosis of great and medium-sized vessels, which causes end-organ damage and loss of life during infancy. The clinical presentation of acute renal failure with normal cardiac function is rare. A 7-day-old female neonate was admitted with a clinical impression of late-onset neonatal sepsis, meningitis, and acute kidney injury after developing a high-grade fever, abnormal body movements, and vomiting of the ingested matter associated with decreased urinary output. On laboratory tests, she had abnormal urea and creatinine levels, multiple electrolyte abnormalities, and a negative septic workup. Ultrasonography revealed diffuse arterial calcification that also involved the renal arteries and renal parenchyma bilaterally. She was clinically diagnosed with GACI and initiated on supportive care including renal replacement therapy. However, she died at the age of 42 days. This case highlights that GACI can present as unexplained acute kidney injury associated with generalized arterial calcification. Ultrasound can be optimized to aid in diagnosis in resource-limited settings.
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Affiliation(s)
- Samuel Sisay Hailu
- Department of Radiology, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia
| | | | - Tesfahunegn Hailemeriam
- Department of Radiology, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia
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Hailu SS, Zewdneh D, Hailu D, Hailemariam T. Beckwith-Wiedemann syndrome in a child with multifocal Wilms tumor and lateralized overgrowth: A case report. Radiol Case Rep 2023; 18:2966-2970. [PMID: 37520386 PMCID: PMC10375379 DOI: 10.1016/j.radcr.2023.06.025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2023] [Accepted: 06/08/2023] [Indexed: 08/01/2023] Open
Abstract
Beckwith-Wiedemann syndrome (BWS) is a rare imprinting disorder and overgrowth syndrome with a prevalence of 1 in 10,000 live births. It is characterized by predilection for embryonal tumor growth, especially Wilms tumor (WT), and manifestations like lateralized overgrowth/hemihypertrophy, macroglossia, macrosomia, anterior abdominal wall defects, and hyperinsulinism. Our case is a 1 year of female child who presented with abdominal swelling and limb length discrepancies. A clinical diagnosis of BWS was made based on multifocal WT and hepatomegaly and nephromegaly detected on contrast-enhanced abdominal computed tomography and physical examination findings of lateralized overgrowth and umbilical hernia. A molecular genetic test was not available. The patient was started on preoperative chemotherapy with good tolerance. Clinical criteria can be used to diagnose WBS in a setting where confirmatory molecular testing is unavailable. This will considerably change approaches to management of presenting complications such as WT .
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Affiliation(s)
- Samuel Sisay Hailu
- Department of Radiology, Addis Ababa University, School of Medicine, Addis Ababa, 9080 Ethiopia
| | - Daniel Zewdneh
- Department of Radiology, Addis Ababa University, School of Medicine, Addis Ababa, 9080 Ethiopia
| | - Daniel Hailu
- Department of Pediatrics and Child Health, Addis Ababa University, School of Medicine, Addis Ababa, Ethiopia
| | - Tesfahunegn Hailemariam
- Department of Radiology, Addis Ababa University, School of Medicine, Addis Ababa, 9080 Ethiopia
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Hailu SS, Gebremariam M, Nigussie T, Girma K, Misgea A, Arega G. Isolated renal hydatid cyst in a ten-year-old female child: A rare case report. Urol Case Rep 2023; 50:102482. [PMID: 37455774 PMCID: PMC10338957 DOI: 10.1016/j.eucr.2023.102482] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2023] [Revised: 06/24/2023] [Accepted: 06/25/2023] [Indexed: 07/18/2023] Open
Abstract
Hydatid cyst is a zoonotic disease caused by CestodaEchinococcus, especially Echinococcus granulosus. Isolated renal hydatidosis is an extremely rare clinical condition associated with nonspecific symptoms and physical findings. Diagnosis can be difficult and depends on imaging findings and histologic examination of excised tissue specimens. Here, we report a case of an isolated right renal hydatid cyst in a 10-year-old girl who presented with progressively worsening right flank pain. Diagnosis was established using multimodal imaging after which she underwent a successful cystectomy, had a smooth post-operative course, and was discharged with improvement and a continuation of albendazole.
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Affiliation(s)
- Samuel Sisay Hailu
- Department of Radiology, Pediatric Radiology Unit, School of Medicine, Addis Ababa University, Addis Ababa, Ethiopia
| | - Miskir Gebremariam
- Department of Radiology, Pediatric Radiology Unit, School of Medicine, Addis Ababa University, Addis Ababa, Ethiopia
| | - Tihitina Nigussie
- Department of Surgery, Pediatric Surgery Unit, School of Medicine, Addis Ababa University, Addis Ababa, Ethiopia
| | - Kassahun Girma
- Department of Surgery, Pediatric Surgery Unit, School of Medicine, Addis Ababa University, Addis Ababa, Ethiopia
| | - Abdureuf Misgea
- Department of Surgery, Pediatric Surgery Unit, School of Medicine, Addis Ababa University, Addis Ababa, Ethiopia
| | - Gashaw Arega
- Department of Pediatrics and Child Health, School of Medicine, Addis Ababa University, Addis Ababa, Ethiopia
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Tamiru R, Hailemariam T, Wakjira E, Hailu SS. Congenital extrahepatic portosystemic shunt masquerading as chronic portal vein thrombosis: A case report. Int J Surg Case Rep 2023; 109:108553. [PMID: 37481969 PMCID: PMC10391669 DOI: 10.1016/j.ijscr.2023.108553] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2023] [Revised: 07/14/2023] [Accepted: 07/16/2023] [Indexed: 07/25/2023] Open
Abstract
INTRODUCTION AND IMPORTANCE Congenital extra hepatic portosystemic shunt (CEPS) is a rare vascular malformation in which splanchnic and portal blood is shunted into the systemic circulation eluding the liver. Type 1 CEPS is sometimes difficult to differentiate from pathologies such as chronic portal veinthrombosis as the portal vein may not be visualized in either entities. CASE PRESENTATION A 3-year-old male child with a week of abdominal pain was diagnosed with chronic portal vein thrombosis in an out-of-hospital setting. Repeat abdominal ultrasound was done at our institution and we were able to visualize termination of the portal vein to the suprarenal infra-hepatic inferior vena cava with an end to side pattern and a focal hypoechoic hepatic lesion at segment eight of the liver. There was no evidence of cavernous transformation or sign of portal hypertension. Subsequently, tri-phasic computed tomography revealed similar findings, with the portal vein terminating at the suprarenal inferior vena cava. The focal hepatic lesion showed peripheral contrast enhancement in the arterial phase and appeared as a central non-enhancing area with evidence of homogeneous enhancement on the subsequent sequences. CLINICAL DISCUSSION Type 1 CEPS can be easily confused with chronic portal vein thrombosis as the portal vein may not be visible and the hepatic artery shows compensatory enlargement in both entities. However, portal vein thrombosis is usually associated with underlying predisposing factors and can result in the development of secondary signs of portal hypertension and cavernous transformation which are critical to distinguish it from CEPS. CONCLUSION Chronic portal vein thrombosis is a great mimicker that should be distinguished from CEPS on ultrasound. A meticulous scan with color flow is helpful to scrutinize vascular anatomy, identify findings associated with CEPS such as hepatic lesions, and exclude signs of chronic portal vein thrombosis.
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Affiliation(s)
- Raja Tamiru
- Addis Ababa University, College of Health Sciences, Department of Radiology, Addis Ababa, Ethiopia
| | - Tesfahunegn Hailemariam
- Addis Ababa University, College of Health Sciences, Department of Radiology, Addis Ababa, Ethiopia.
| | - Eyasu Wakjira
- Wudassie Diagnostic Center, Department of Radiology, Addis Ababa, Ethiopia
| | - Samuel Sisay Hailu
- Addis Ababa University, College of Health Sciences, Department of Radiology, Addis Ababa, Ethiopia
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Hailu SS, Derbew HM, Zeray A, Hailemariam T, Otero HJ. Giant pulmonary artery aneurysm in a child: Rare complication of congenital heart disease. Clin Case Rep 2023; 11:e7622. [PMID: 37384228 PMCID: PMC10293579 DOI: 10.1002/ccr3.7622] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2023] [Revised: 06/01/2023] [Accepted: 06/13/2023] [Indexed: 06/30/2023] Open
Abstract
Key Clinical Message This case report aims to increase awareness that pulmonary artery aneurysms may occur as a complication of neglected patent ductus arteriosus and should be sought in children with ill-treated congenital heart diseases. Abstract Pulmonary artery aneurysm is a rare anomaly with an autopsy prevalence of 1:14,000. These aneurysms can arise secondary to various etiologies, with congenital causes identified in 25% of cases and congenital heart diseases (CHD) responsible for more than half of these cases. A 12-year-old boy with CHD in the form of patent ductus arteriosus (PDA) and irregular clinical follow-up presented with new onset fatigue of 3 months duration. A physical examination revealed anterior chest wall bulging and a continuous murmur. A chest radiograph showed a smooth left hilar region opacity that has a close relation with the left cardiac border. Transthoracic echocardiogram shows no progression from the previous one; there was a large PDA and pulmonary hypertension, but no further information was available. Computed tomography angiography revealed a giant aneurysm of the main pulmonary artery (PA), with a maximum diameter of 8.6 cm, and dilatation of its branches of 3.4 and 2.9 cm for the right and left PA, respectively.
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Affiliation(s)
- Samuel Sisay Hailu
- Department of Radiology, College of Health SciencesAddis Ababa UniversityAddis AbabaEthiopia
| | - Hermon Miliard Derbew
- Department of RadiologyChildren's Hospital of PhiladelphiaPhiladelphiaPennsylvaniaUSA
| | - Abrehet Zeray
- Department of Radiology, College of Health SciencesAddis Ababa UniversityAddis AbabaEthiopia
| | - Tesfahunegn Hailemariam
- Department of Radiology, College of Health SciencesAddis Ababa UniversityAddis AbabaEthiopia
| | - Hansel J. Otero
- Department of RadiologyChildren's Hospital of PhiladelphiaPhiladelphiaPennsylvaniaUSA
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Hailu SS, Solomon DZ, Gebremedhin YG, Nour AS. Dorsolumbar parasitic twin associated with lipomyelomeningocele: a case report from a tertiary teaching hospital, Ethiopia, East Africa. Radiol Case Rep 2022; 17:3820-3824. [PMID: 35965936 PMCID: PMC9372744 DOI: 10.1016/j.radcr.2022.07.079] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2022] [Revised: 07/16/2022] [Accepted: 07/20/2022] [Indexed: 11/04/2022] Open
Abstract
A parasitic or heteropagus twin is a grossly defective fetus (or fetus part) attached externally, with or without internal connections and is dependent on the cardiovascular system of the other twin (autosite) for survival. The estimated incidence is approximately 1 per 1 million live births. To date according to the authors’ knowledge; there are a few case reports published in the literature. Here we present a case of dorsolumbar parasitic twin with associated lipomyelomeningocele.
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Hailu SS, Amerga ED, Gorfu Y, Zewedneh D. KARTAGENER'S SYNDROME: A CASE REPORT. Ethiop Med J 2016; 54:91-94. [PMID: 27476230] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Kartagener's syndrome is a rare autosomal recessive genetic disorder that causes a defect in the action of the cilia lining the respiratory tract. Patients usually present with chronic recurrent rhinosinusitis, otitis media, pneumonia, and bronchiectasis caused by Pseudomonas infection. In this case report, we present a 12-year old female with Kartagener's syndrome from Tikur Anbessa Teaching Hospital which to our knowledge is the first of it's kind to be reported in Ethiopia. The clinical and imaging findings are discussed.
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