Mounir Salek - Academia.edu (original) (raw)

Papers by Mounir Salek

Research paper thumbnail of A cardiac mass revealing a thoracic neuroblastoma in a four-years- old: a case report

Research Square (Research Square), May 16, 2024

Neuroblastoma, an embryonal malignant tumor originating from neuroblasts within the sympathetic n... more Neuroblastoma, an embryonal malignant tumor originating from neuroblasts within the sympathetic nervous system, is the third most prevalent pediatric malignancy, following leukemias and central nervous system tumors. The primary sites of metastases from neuroblastoma are the bone marrow, bones, and lymph nodes. Cardiac extension is an exceptionally rare occurrence. We report the case of a four-year-old child, with no prior medical history of cardiopathy, who had been experiencing exertional dyspnea for a few months leading to his admission. The patient presented to the pediatric emergency department for shortness of breath, chest pain, and fever.The clinical ndings were: polypnea, signs of respiratory distress, bilateral jugular vein distention, and a systolic heart murmur at all the cardiac auscultation sites. A chest X-ray showed cardiomegaly and alveolar edema. Echocardiography revealed a large atrial septal defect with right heart enlargement, severe pulmonary hypertension, and an echogenic mobile lesion in the left atrium. Further investigations revealed a large left posterior mediastinal mass with calci cations extending to the left atrium. A biopsy was performed and histopathology of the mediastinal mass revealed neuroblastoma. The intracardiac extension of tumors in the pediatric population is rare. Thoracic and cardiac imagery can be used to characterize the mass further and adapt treatment. To the best of our knowledge, this is the rst published case of a posterior mediastinal neuroblastoma with direct intracardiac extension.

Research paper thumbnail of Methotrexate toxicity complicating a case of rheumatoid arthritis associated Interstitial Lung Disease: Lessons to learn

Radiology case reports, Jun 1, 2024

Research paper thumbnail of A Pulsatile Cervical Mass Revealing a High Riding Brachiocephalic Artery: A Case Report

Scholars journal of applied medical sciences, Nov 13, 2022

Anterior neck swellings are a common indication for cervical ultrasound in every radiology depart... more Anterior neck swellings are a common indication for cervical ultrasound in every radiology department. However, pulsatile masses in this region are relatively rare. This 62-years-old lady presented with anterior neck swelling for more than ten years which became more pulsatile recently due to hypertension. Ultrasound was first performed revealing a vascular cervical mass and a CT angiography made the diagnosis of cervical brachiocephalic artery. Right sided pulsatile cervical mass should make every clinician think of this diagnosis to avoid any interventional procedures that could be fatal for the patient.

Research paper thumbnail of Agénésie du tronc cœliaque : à propos d'un cas

Annales de Cardiologie et d'Angéiologie

Research paper thumbnail of A cardiac mass revealing a thoracic neuroblastoma in a four-years- old: a case report

Research Square (Research Square), May 16, 2024

Neuroblastoma, an embryonal malignant tumor originating from neuroblasts within the sympathetic n... more Neuroblastoma, an embryonal malignant tumor originating from neuroblasts within the sympathetic nervous system, is the third most prevalent pediatric malignancy, following leukemias and central nervous system tumors. The primary sites of metastases from neuroblastoma are the bone marrow, bones, and lymph nodes. Cardiac extension is an exceptionally rare occurrence. We report the case of a four-year-old child, with no prior medical history of cardiopathy, who had been experiencing exertional dyspnea for a few months leading to his admission. The patient presented to the pediatric emergency department for shortness of breath, chest pain, and fever.The clinical ndings were: polypnea, signs of respiratory distress, bilateral jugular vein distention, and a systolic heart murmur at all the cardiac auscultation sites. A chest X-ray showed cardiomegaly and alveolar edema. Echocardiography revealed a large atrial septal defect with right heart enlargement, severe pulmonary hypertension, and an echogenic mobile lesion in the left atrium. Further investigations revealed a large left posterior mediastinal mass with calci cations extending to the left atrium. A biopsy was performed and histopathology of the mediastinal mass revealed neuroblastoma. The intracardiac extension of tumors in the pediatric population is rare. Thoracic and cardiac imagery can be used to characterize the mass further and adapt treatment. To the best of our knowledge, this is the rst published case of a posterior mediastinal neuroblastoma with direct intracardiac extension.

Research paper thumbnail of Methotrexate toxicity complicating a case of rheumatoid arthritis associated Interstitial Lung Disease: Lessons to learn

Radiology case reports, Jun 1, 2024

Research paper thumbnail of A Pulsatile Cervical Mass Revealing a High Riding Brachiocephalic Artery: A Case Report

Scholars journal of applied medical sciences, Nov 13, 2022

Anterior neck swellings are a common indication for cervical ultrasound in every radiology depart... more Anterior neck swellings are a common indication for cervical ultrasound in every radiology department. However, pulsatile masses in this region are relatively rare. This 62-years-old lady presented with anterior neck swelling for more than ten years which became more pulsatile recently due to hypertension. Ultrasound was first performed revealing a vascular cervical mass and a CT angiography made the diagnosis of cervical brachiocephalic artery. Right sided pulsatile cervical mass should make every clinician think of this diagnosis to avoid any interventional procedures that could be fatal for the patient.

Research paper thumbnail of Agénésie du tronc cœliaque : à propos d'un cas

Annales de Cardiologie et d'Angéiologie