Giant Rasmussen's aneurysm in a 9-year-old boy: A case report

Rasmussen's aneurysm is a pseudoaneurysm caused by tuberculosis, when cavitation occurs adjacent to a pulmonary artery, which can be lethal. It is a rare complication usually affecting adults. This is a case of an 9-year-old boy initially admitted for pneumonia that developed hemoptysis during...

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Main Author: Mario Emmanuel A. Gallardo, MD
Format: Article
Language:English
Published: Elsevier 2022-11-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043322006847
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author Mario Emmanuel A. Gallardo, MD
author_facet Mario Emmanuel A. Gallardo, MD
author_sort Mario Emmanuel A. Gallardo, MD
collection DOAJ
description Rasmussen's aneurysm is a pseudoaneurysm caused by tuberculosis, when cavitation occurs adjacent to a pulmonary artery, which can be lethal. It is a rare complication usually affecting adults. This is a case of an 9-year-old boy initially admitted for pneumonia that developed hemoptysis during admission. Chest X-ray done after this episode showed development of a left hilar mass not present in the previous studies. A chest CT with contrast subsequently revealed a saccular aneurysm arising from the left lower lobe pulmonary artery adjacent to a cavity, a Rasmussen's aneurysm. The patient was treated conservatively with continuation of anti-TB medication and serial monitoring due to the size of the aneurysm being less than 6 cm and spontaneous resolution of the hemoptysis. This report stresses that a Rasmussen's aneurysm should always be in the differential diagnosis of a hilar mass in a patient with hemoptysis, regardless of the patient's age.
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spelling doaj.art-cc83334cc3984b87b8cd5e4869f7c5352022-12-22T02:06:12ZengElsevierRadiology Case Reports1930-04332022-11-01171141684175Giant Rasmussen's aneurysm in a 9-year-old boy: A case reportMario Emmanuel A. Gallardo, MD0Department of Radiology, Quezon City General Hospital, Seminary Rd, Barangay Bahay Toro, Quezon City, PhilippinesRasmussen's aneurysm is a pseudoaneurysm caused by tuberculosis, when cavitation occurs adjacent to a pulmonary artery, which can be lethal. It is a rare complication usually affecting adults. This is a case of an 9-year-old boy initially admitted for pneumonia that developed hemoptysis during admission. Chest X-ray done after this episode showed development of a left hilar mass not present in the previous studies. A chest CT with contrast subsequently revealed a saccular aneurysm arising from the left lower lobe pulmonary artery adjacent to a cavity, a Rasmussen's aneurysm. The patient was treated conservatively with continuation of anti-TB medication and serial monitoring due to the size of the aneurysm being less than 6 cm and spontaneous resolution of the hemoptysis. This report stresses that a Rasmussen's aneurysm should always be in the differential diagnosis of a hilar mass in a patient with hemoptysis, regardless of the patient's age.http://www.sciencedirect.com/science/article/pii/S1930043322006847Rasmussen’s aneurysmPseudoaneurysmThoracic radiologyHemoptysis
spellingShingle Mario Emmanuel A. Gallardo, MD
Giant Rasmussen's aneurysm in a 9-year-old boy: A case report
Radiology Case Reports
Rasmussen’s aneurysm
Pseudoaneurysm
Thoracic radiology
Hemoptysis
title Giant Rasmussen's aneurysm in a 9-year-old boy: A case report
title_full Giant Rasmussen's aneurysm in a 9-year-old boy: A case report
title_fullStr Giant Rasmussen's aneurysm in a 9-year-old boy: A case report
title_full_unstemmed Giant Rasmussen's aneurysm in a 9-year-old boy: A case report
title_short Giant Rasmussen's aneurysm in a 9-year-old boy: A case report
title_sort giant rasmussen s aneurysm in a 9 year old boy a case report
topic Rasmussen’s aneurysm
Pseudoaneurysm
Thoracic radiology
Hemoptysis
url http://www.sciencedirect.com/science/article/pii/S1930043322006847
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