RESUMEN
Rasmussen's aneurysm, a very rare complication of active pulmonary tuberculosis (TB), is a pulmonary artery aneurysm adjacent to or within a tuberculous cavity. It may lead to rupture and life threatening massive hemoptysis, an uncommon but challenging medico-surgical emergency. This complication warrants attention in view of the resurgence of tuberculosis and increasing occurrence of multi-drug resistant TB, especially in resource-poor, high-TB burden countries like India. We present a case of an elderly man who presented to the emergency room with low-grade fever, cough and hemoptysis. Thoracic Multidetector row Computed Tomographic Angiography (MDCTA) showed left upper lobe consolidation with thick walled cavitary lesions and aneurysm along the apical segmental branch of left upper lobar pulmonary artery. Hemoptysis was successfully controlled with systemic artery embolization using polyvinyl alcohol (PVA) particles. He was treated with antitubercular chemotherapy and was followed for more than a year without further recurrence of hemoptysis.
RESUMEN
Lipomyelocele is the most common occult spinal dysraphism. However, it can rarely be associated with aberrant tissues such as bone--making it one of the rarest of spinal dysraphism type, called as "osseous dysraphic hamartoma." The authors report such a rare case of lipomyelocele with osseous dysraphic hamartoma. CT and MRI play a complimentary role in accurate diagnosis of this rare dysraphism. Detection of aberrant bone helps plan the surgery.