Patients with an imperforate anus frequently present with congenital abnormalities, most commonly as a component of VACTERL (Vertebral anomalies, Anorectal malformations, Cardiac defect, Tracheo-Oesophageal fistula and Oesophageal atresia, Renal anomalies, and Limb defects) anomalies. It is, however, unusual for infants to present with a concurrent anorectal malformation (ARM) and a Bochdalek type diaphragmatic hernia. We describe an infant with an ARM and a delayed presentation of a right-sided Bochdalek type diaphragmatic hernia.
View Article and Find Full Text PDFExtra-pulmonary tuberculosis (EPTB), caused by , is the leading cause of communicable disease-related deaths in people with human immunodeficiency virus (HIV) worldwide and in South Africa. disseminates haematogenously from an active primary lung focus and may affect extra-pulmonary sites in up to 15% of patients. Extra-pulmonary TB may present with a normal chest radiograph, which often causes a significant diagnostic dilemma.
View Article and Find Full Text PDFIntroduction: Globally, increasing clinical demands threaten postgraduate radiology training programmes. Time-based assessment of clinical workload is optimal in the academic environment, where an estimated 30% of consultant time should ideally be devoted to non-reporting activities. There has been limited analysis of the academic radiologist workload in low- and middle-income countries.
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