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1.
BMC Med Imaging ; 22(1): 13, 2022 01 22.
Article in English | MEDLINE | ID: mdl-35065612

ABSTRACT

BACKGROUND: There are only a few publications about the non-cardiovascular findings in children with congenital heart diseases explored by chest CT angiography. The purpose of our study is to evaluate the prevalence of non-cardiovascular findings on chest CT angiographies in children with congenital heart disease and to raise awareness about their importance among the radiologists. METHODS: We retrospectively reviewed the 272 chest CT angiographies performed in our pediatric radiology department between January 2017 and march 2021 and extracted the data of the 180 patients positive for a congenital heart disease. Then from that pool, we sorted out the non-cardiovascular findings into significant and non-significant in regard of their relevance or not in the patient's management. RESULTS: Non-cardiovascular lesions were found in 58% (105/180) of our patients, and 49% (88/180) of them presented at least one significant non-cardiac lesion. Lung and airways abnormalities were found in 41% (74/180) of the cases, representing the majority of the non-cardiovascular findings. Syndromic associations were found in 17% (28/180) of our patients, including 14 cases of heterotaxic syndrome. CONCLUSION: Non-cardiovascular findings are common in children with congenital heart disease. Reporting these associated lesions is a requisite for an optimal therapeutic management of these children. Radiologists should never forget that a Chest CT angiography in children is first and foremost a chest CT.


Subject(s)
Computed Tomography Angiography , Heart Defects, Congenital/diagnostic imaging , Thorax/diagnostic imaging , Adolescent , Bronchial Diseases/diagnostic imaging , Child , Child, Preschool , Diaphragm/diagnostic imaging , Humans , Incidental Findings , Infant , Infant, Newborn , Infections/diagnostic imaging , Lung Diseases/diagnostic imaging , Pulmonary Veins/diagnostic imaging , Retrospective Studies , Spine/abnormalities , Spine/diagnostic imaging , Vascular Diseases/diagnostic imaging
2.
J Med Case Rep ; 13(1): 342, 2019 Nov 24.
Article in English | MEDLINE | ID: mdl-31759391

ABSTRACT

BACKGROUND: Pituitary abscess is a rare condition with nonspecific symptoms that can be delayed. Proper diagnosis needs to occur preoperatively so that the management can be set up accordingly. Accurate diagnosis is challenging because many differential diagnoses can exhibit the same magnetic resonance imaging features. CASE PRESENTATION: We report two cases of pituitary abscess. The first patient was a 66-year-old Arab woman who underwent a surgical procedure for a pituitary macroadenoma and presented 3 months later with chronic headaches and panhypopituitarism. A pituitary abscess was found on the follow-up magnetic resonance imaging. The second patient was a 64-year-old Arab man with no medical history who presented with a chiasmal syndrome with headaches and panhypopituitarism. Brain magnetic resonance imaging showed a heterogeneous pituitary mass that turned out to be a pituitary abscess intraoperatively. These two patients were treated with hormone substitution, endoscopic transsphenoidal drainage, and antibiotherapy, with excellent outcomes. CONCLUSIONS: Pituitary abscess is a rare and serious condition. Preoperative diagnosis can be challenging because of the many existing differential diagnoses upon imaging. Magnetic resonance imaging is the mainstay technique of imaging due to its multimodal nature. These cases demonstrate the variable patterns of a pituitary abscess seen on magnetic resonance imaging and the potential difficulties in achieving an accurate diagnosis preoperatively due to many other conditions potentially exhibiting the same magnetic resonance imaging features.


Subject(s)
Abscess/diagnostic imaging , Anti-Bacterial Agents/therapeutic use , Drainage , Endoscopy , Magnetic Resonance Imaging , Pituitary Diseases/diagnostic imaging , Abscess/pathology , Abscess/therapy , Aged , Combined Modality Therapy , Decompression, Surgical , Female , Headache/diagnostic imaging , Hormone Replacement Therapy , Humans , Male , Pituitary Diseases/pathology , Pituitary Diseases/therapy , Treatment Outcome
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