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George Asafu Adjaye Frimpong,1,2 Evans Aboagye,1 Elliot Koranteng Tannor,3,4 Naomi Cindy Chinenyenwa Chigbu,5 Victoria Temabore Daboner5 1Spectra Health Imaging and Interventional Radiology, Kumasi, Ghana; 2Department of Radiology, School of Medicine and dentistry, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana; 3Department of Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana; 4Renal Unit, Directorate of Medicine, Komfo Anokye Teaching Hospital, Kumasi, Ghana; 5School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology, Kumasi, GhanaCorrespondence: George Asafu Adjaye Frimpong, Spectra Health Imaging and Interventional Radiology, Kumasi, Ghana, Tel +233201169108, Email research@spectrahealthgh.comAbstract: Coarctation of the aorta (CoA) with arterial tortuosity syndrome (ATS) is a rare hereditary condition characterized by elongation and tortuosity of the medium- and large-sized arteries, pulmonary hypertension, pulmonary artery stenosis, and constriction or narrowing of the aorta. Considering the non-specific indications and the overlap of ATS with other disorders of the connective tissue such as Williams Beuren syndrome (elastin), Marfan syndrome (fibrillin-1) and Ehlers Danlos syndrome (Type III collagen), it is vital to keep a high diagnostic suspicion in the analysis of the condition. We therefore report on a rare occurrence of coarctation of the aorta with arterial tortuosity syndrome in a teenage female who initially presented with severe resistant hypertension, providing additional literature to aid in the differential diagnosis of COA with ATS. Cinematic rendering delivered a markedly enhanced view of the condition, allowing for greater accuracy in the diagnosis.Keywords: coarctation of the aorta, arterial tortuosity, cinematic rendering, connective tissue disorder

George Asafu Adjaye Frimpong,1,2 Evans Aboagye,2,3 Mansa Amamoo,4 Solomon Obiri-Yeboah,5 Jonathan Tettey Olesu6 1Department of Radiology, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana; 2Spectra Health Imaging and Interventional Radiology, Kumasi, Ghana; 3Department of Molecular Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana; 4Department of Radiology, Komfo Anokye Teaching Hospital, Kumasi, Ghana; 5Department of Oral and Maxillofacial Sciences, Kwame Nkrumah University of Science and Technology Dental School, Kumasi, Ghana; 6Department of Oral and Maxillofacial Surgery, Komfo Anokye Teaching Hospital, Kumasi, Ghana Abstract: Congenital infiltrating lipomatosis of the face (CILF) is a rare lipomatous lesion, commonly seen in childhood, and it is characterized by collections of mature, unencapsulated adipose tissues that infiltrate facial soft and hard tissues. The lesion is seen as an overgrowth of bone and soft tissue and is generally present clinically as slow-growing painless masses. In this case report, we described one case of CILF, which is one of the first cases reported in Ghana and Africa as a whole, along with a literature review on the diagnosis and current treatment strategies. Keywords: congenital infiltrating lipomatosis of face, facial asymmetry analysis, hemifacial hyperplasia, macrodontism