RESUMO
An anomalous origin of the right coronary artery has been documented in up to 0.92% of the general population, which is more common than an anomalous origin of the left coronary artery. We present a case of an elderly hypertensive man who developed mild dyspnoea on exertion for 3 months with associated retro-sternal pain as well as occasional palpitation which all tend to subside at rest. An electrocardiogram showed evidence of left atrial enlargement. A coronary computed tomographic angiogram was acquired with a 160-slice scanner which revealed the right coronary artery to originate from the left aortic sinus with a retro-aortic pattern of anatomical course. Vascular wall calcifications were noted with multilevel luminal narrowing on the left anterior descending however distal opacification was adequate. Our case further depicts the reason for keeping in mind anatomical variations while evaluating cardiac pathologies even among Black Africans.
RESUMO
Sacrococcygeal agenesis or caudal regression syndrome is an uncommon disorder in which there is partial or total agenesis of the sacrum with or without lumbar involvement. Very few cases have been reported in the literature. We report a case of a 7-year-old child of a non-diabetic mother who presented with complaints of urinary and faecal incontinence since birth. Clinical examination revealed a soft, fluctuant swelling at the lower aspect of the back. The sacral and coccygeal bones were not palpable. CT scan and MRI confirmed sacrococcygeal agenesis with a sacral lipoma. He was being managed with pelvic floor training and physiotherapy with minimal improvement before being lost to follow up.