The Turkish Journal of Pediatrics
2022 , Vol 64 , Num 2
A rare complication of pulmonary tuberculosis in childhood: Rasmussen`s aneurysm in a 9-year-old child with Down syndrome
1 Department of Pediatric Infectious Diseases, University of Health Sciences Dr. Behçet Uz Child Disease and Pediatric Surgery Training and Research Hospital, İzmir2 Department of Interventional Radiology, Ege University, Faculty of Medicine, İzmir, Turkey DOI : 10.24953/turkjped.2021.1617 Background. As an extremely rare entity reported in children, Rasmussen`s aneurysm is an inflammatory pseudo-aneurysmal dilatation of a branch of the pulmonary artery adjacent to or within a tuberculous cavity.
Case. Here, we reported a 9-year-old child with Down syndrome who presented with massive hemoptysis. Endovascular coil embolization was performed for Rasmussen`s aneurysm. During the 2-year follow-up period, she had no further episodes of bleeding.
Conclusions. In case of the development of massive hemoptysis in the follow-up of a patient with pulmonary tuberculosis and Down syndrome, this lethal complication should be considered.
Keywords : child, Down syndrome, rasmussen`s aneurysm, tuberculosis