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1.
Radiol Case Rep ; 19(6): 2211-2213, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38523722

RESUMO

Hemimelia denotes the partial or complete absence of the distal half of a limb. Ulna hemimelia, a rare congenital anomaly, involves the complete or partial absence of the ulna in the upper limb, with an incidence of 1 in 150,000. This condition has been classified into 4 types, with the rare Type 4 variant involving humeroradial synostosis. We present a unique case of bilateral complete ulna hemimelia, humeroradial synostosis, and oligodactyly, in an 11-month-old female with bilateral upper limb shortening and restricted elbow movement since birth. Clinical examination revealed bilateral upper limb shortening, medial deviation of both wrist joints, fixed extension of both elbow joints, and bilateral absence of the cubital fossa. Radiographs confirmed bilateral micromelia, absence of ulna, humeroradial synostosis, and oligodactyly. This case, exhibiting bilateral Type 4 ulna hemimelia with Class 1 humeroradial synostosis, is a complex variant, rarely reported, and the first documented in Ghana. It also highlights the importance of radiological assessment in ensuring accurate diagnosis. Long-term follow-up and potential surgical interventions are crucial for optimizing upper limb function in such cases.

2.
Radiol Case Rep ; 18(10): 3648-3651, 2023 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-37593334

RESUMO

Rasmussen aneurysm (RA) is an uncommon cause of hemoptysis in pulmonary tuberculosis, first described in 1868 by Rasmussen. It is often treated with surgery or endovascular coiling. A few cases of spontaneous resolution with conservative management have been recorded in literature. We present the case of a 44-year old patient who reported with hemoptysis, weight loss, chronic cough and night sweats and was diagnosed of pulmonary tuberculosis on the basis of clinical assessment and chest X-ray. Subsequently, chest CT scan done showed a giant left RA, treated conservatively with antituberculous chemotherapy with complete radiological resolution of aneurysm after 18-month follow-up. We conclude that conservative management of RA is a good alternative in a low resource setting for hemodynamically stable patients.

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