International Journal For Multidisciplinary Research

E-ISSN: 2582-2160   •   Impact Factor: 9.24

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Kartagener Syndrome Presenting as a Diagnostic Dilemma: Incidental Discovery during Acute Pulmonary Embolism Workup in an Adult Female

Author(s) Dr. Mahmoud Hsairi, Prof. Yahya El Harras, Dr. Achraf Saidi, Prof. Kaoutar Imrani, Prof. Ittimade Nassar
Country Morocco
Abstract Kartagener syndrome (KS) is a subset of primary ciliary dyskinesia (PCD) characterized by the classical triad of situs inversus totalis, chronic rhinosinusitis, and bronchiectasis. PCD represents a rare autosomal recessive disorder that is frequently diagnosed late or incidentally on imaging due to non-specific clinical manifestations. We report the case of a 35-year-old woman with no significant history of chronic sino-pulmonary symptoms, who presented with acute dyspnea, chest pain, and minimal hemoptysis. An urgent computed tomography pulmonary angiography (CTPA) was performed to exclude pulmonary embolism. While no embolism was detected, CTPA incidentally demonstrated situs inversus totalis associated with extensive, diffuse bilateral cystic and cylindrical bronchiectasis, consistent with Kartagener syndrome. Furthermore, the patient reported a five-year history of primary infertility, subsequently linked to ciliary dysfunction. This case highlights the pivotal role of imaging in the incidental diagnosis of KS, ensuring timely referral for multidisciplinary management to prevent irreversible lung deterioration.
Keywords Kartagener Syndrome, Primary Ciliary Dyskinesia (PCD), Situs Inversus Totalis, Bronchiectasis, Chronic Rhinosinusitis, CT Angiography.
Field Medical / Pharmacy
Published In Volume 8, Issue 3, May-June 2026
Published On 2026-06-10
DOI https://doi.org/10.36948/ijfmr.2026.v08i03.80487
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CrossRef DOI prefix of IJFMR is 10.36948/ijfmr

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