Browsing by Author "Ozkacmaz, S."

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A Rare Complication of Aortic Coarctation: Aneurysm and Aortoesophageal Fistula
(Medcom Ltd, 2022) Ozkacmaz, S.
Introduction: Rupture of an aortic aneurysm and aortoesophageal fistula formation is a rare but serious complication of aortic coarctation. Case Presentation: A 13-year-old girl was admitted with a minor haematemesis in whom computed tomography examination showed aortic coarctation and a poststenotic aneurysm surrounded by a haematoma and right aberrant subclavian artery. An endoscopic examination revealed bleeding from a small orifice at the posterior wall of proximal esophagus which is suggestive of an aortoesophageal fistula. Resection of coarctation and aneurysmatic segment, graft replacement and closure of aortoesophageal fistula were performed with no complication. Conclusions: As major complications such as aortic aneurysm and aortoesophageal fistula are rarely reported in children with previously undiagnosed aortic coarctation, this entity must be kept in mind for the patients who present with vomiting even small amounts of blood. Also the X-ray findings of aortic coarctation and its' complications must be aware by the clinicians and radiologists.
A Traumatic Spinal Epidural Haematoma in a Child With Magnetic Resonance and Computed Tomography Findings: A Case Report
(Medcom Ltd, 2022) Ozkacmaz, S.
Spinal epidural haematomas most commonly occur secondary to neoplasms, arteriovenous malformations, epidural haemangiomas, coagulopathies and infections. But traumatic spinal epidural haematoma is an extremely rare entity which leads to major neurological conditions such as hemiparesis, paraparesis, quadriparesis and paraplegia. In this report we present the non-enhanced computed tomography (CT) and magnetic resonance (MR) imaging findings of a paediatric case of a traumatic spinal epidural haematoma extending from the 3rd cervical to the 10th thoracic vertebral level, which was associated with multiple vertebral body fractures due to a high-energy trauma. To the best of our knowledge, this case had the longest caudocranially spreading, traumatic spinal epidural haematoma detected in children, compared to previous reports in the literature. A spinal epidural haematoma is a challenge for patients, especially those with a non-traumatic origin. For this reason, the spinal epidural space must be properly examined for the presence of haematomas on the CT and MR images in patients with trauma.