Presentation of hydatid disease is uncommon in children, and cardiac hydatid cyst is rare at any age. The authors discuss a pediatric patient with cardiac hydatid cyst in the posterior wall of the left ventricle. The cyst was diagnosed by two-dimensional echocardiography and by serology. A 3 month course of mebendazole therapy was only partially effective. The patient remains asymptomatic 2 years after diagnosis. HYDATID DISEASE is endemic in the Middle East. In a study from a surgical hospital in eastern Libya, the disease accounted for 0.89 percent of all hospital admissions. The echinococcus cyst grows very slowly and unless located in a critical anatomic site, it takes many years to evolve. Consequently, presentation in pediatric patients is distinctly uncommon. In an epidemiologic study from Benghazi, only 11.7 percent of patients were under 10 years old. Cardiac hydatid disease is rare at any age, accounting for less than 2 percent of all hydatid disease. Since the introduction of two-dimensional echocardiography, more cases are being diagnosed. All the reports in the recent literature are in adult patients. We report here, however, a cardiac hydatid cyst in the left ventricular wall in a child.
<p class="abstract">Thrombocytopenia absent radii (TAR) is a rare genetic disorder associated with multiple additional anomalies. We report a case of a 25 day old female neonate with thrombocytopenia and bilateral absent radii with flexion of the elbow joint and radial deviation of the wrist joint. TAR, although rare are not uncommon. Thus, we have presented a 25 day old neonate with radiological features of absent radii and fluctuating platelet counts that subsequently showed thrombocytopenia that warranted the diagnosis of TAR syndrome in this case<span lang="EN-IN">. </span></p><p class="abstract"> </p>
Hydatid disease is common in the tropics. It is caused by infection with the larval stage of Echinococcus tapeworm. Infestation of humans, who are accidentally the intermediate host, occurs from ingestion of water or food contaminated by fecal material of definitive host (dog, wolves, deer, sheeps). The most frequent organ of involvement is the liver in up to 70%, followed by the lung about 18% and with a lower reported incidence in other organs or tissues in the body. It primarily affects the liver and shows typical imaging findings. However clinical presentation varies widely and is non specific. Thus, imaging plays an important role in diagnosis of hydatid diseases. Ultrasound (US), computed tomography (CT), and magnetic resonance imaging (MRI) can depict hydatid disease. The imaging methods used depend on involved organ and the radiological findings which range from purely cystic lesions to completely solid appearance. We report a very rare case of a calcified huge hydatid cyst in a 42 year old patient to buttress the role of imaging in management of such cases.
<p>Variety of congenital uterine anomalies occurs as a result of abnormal fusion of the mullerian duct during embryonic life. Bicornuate unicollis –one of such anomalies is associated with infertility, repeated spontaneous abortions, intrauterine growth retardation and preterm labor among others. We report a case of a 34-year old female para<sup>2+4</sup> A<sub>1</sub> with habitual abortion in secondary infertility due to bicornuate unicollis uterus that was diagnosed using hysterosalpingography (HSG) and ultrasonography. Uterine anomalies although rare are not uncommon. Imaging such as ultrasonography and HSG plays a pivotal role in the early detection of these anomalies.</p>
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