scholarly journals Dieulafoy’s disease of the bronchial tree: a case report

2017 ◽  
Vol 135 (4) ◽  
pp. 396-400 ◽  
Author(s):  
Massoud Baghai Wadji ◽  
Athena Farahzadi
Keyword(s):  
Case Report ◽  
Lung Resection ◽  
Lower Lobe ◽  
Fiberoptic Bronchoscopy ◽  
Arterial Embolization ◽  
Bronchial Tree ◽  
Massive Hemoptysis ◽  
Selective Embolization ◽  
Dieulafoy’S Disease ◽  
The Right

ABSTRACT CONTEXT: Dieulafoy’s disease of the bronchial tree is a very rare condition. Few cases have been reported in the literature. It can be asymptomatic or manifest with massive hemoptysis. This disease should be considered among heavy smokers when recurrent massive hemoptysis is present amid otherwise normal findings. The treatment can be arterial embolization or surgical intervention. CASE REPORT: A 16-year-old girl was admitted to the emergency department due to hemoptysis with an unknown lesion in the bronchi. She had suffered massive hemoptysis and respiratory failure one week before admission. Fiberoptic bronchoscopy revealed a lesion in the bronchus of the right lower lobe, which was suspected to be a Dieulafoy lesion. Segmentectomy of the right lower lobe and excision of the lesion was carried out. The outcome for this patient was excellent. CONCLUSION: Dieulafoy’s disease is a rare vascular anomaly and it is extremely rare in the bronchial tree. In bronchial Dieulafoy’s disease, selective embolization has been suggested as a method for cessation of bleeding. Nevertheless, standard anatomical lung resection is a safe and curative alternative.

scholarly journals Endobronchial ultrasound in Dieulafoy’s disease of the bronchus: an additional application of EBUS

2016 ◽  
Vol 73 (4) ◽  
Author(s):  
C. Gurioli ◽  
G.L. Casoni ◽  
C. Gurioli ◽  
S. Tomassetti ◽  
M. Romagnoli ◽  
...  
Keyword(s):  
Case Report ◽  
Gastrointestinal Tract ◽  
Vascular Malformation ◽  
Clinical Utility ◽  
Bronchial Tree ◽  
Endobronchial Ultrasound ◽  
Massive Hemoptysis ◽  
Spontaneous Bleeding ◽  
Arterial Vessel ◽  
Dieulafoy’S Disease

Dieulafoy’s disease is a rare vascular malformation represented by an abnormally enlarged submucosal arterial vessel. This malformation is mostly found in gastrointestinal tract causing spontaneous bleeding although a few cases have been described in the bronchial tree. Recognizing Dieulafoy’s malformation is crucial for the bronchoscopist in order to avoid biopsy that can lead to a massive hemoptysis, sometimes fatal. In this case report we show the clinical utility of endobronchial ultrasound (EBUS) in the evaluation of bronchial alteration suspicious for Dieulafoy’s malformation.

scholarly journals A rare and fatal respiratory disease: bronchial Dieulafoy’s disease

2020 ◽  
Vol 14 ◽  
pp. 175346662092923
Author(s):  
Shi-xia Liao ◽  
Peng-peng Sun ◽  
Bang-guo Li ◽  
Shuang-fei He ◽  
Mao-mao Liu ◽  
...  
Keyword(s):  
Bronchial Artery ◽  
Arterial Embolization ◽  
Normal Mucosa ◽  
Middle Lobe ◽  
Massive Hemoptysis ◽  
Lobe Bronchus ◽  
Bronchial Lumen ◽  
Bronchial Arterial Embolization ◽  
Dieulafoy’S Disease ◽  
The Right

A 66-year-old woman had two severe episodes of massive hemoptysis without any premonitory symptoms, with approximately 400–500 ml blood each time. Bronchoscopic exam revealed a smooth and pulsatile protrusion that was approximately 8–10 mm in diameter found at the beginning of the right middle lobe bronchus in the bronchial lumen. The protrusion arose from the surface with absolutely normal mucosa. Selective bronchial arteriography showed that elongated, tortuous, and dilated branches of the bronchial artery in the region of the middle lobe bronchus. Further bronchial arterial embolization (BAE) is recommended, although the patient currently has no active bleeding. Bronchial Dieulafoy’s disease (BDD) is a rare and life-threatening disease. Selective bronchial arteriography is a diagnostic tool to detect and locate abnormal arteries. There is no unified guideline or expert consensus on the treatment of BDD. Selective BAE or surgical resection is usually used as a first-line treatment to control hemoptysis. The reviews of this paper are available via the supplemental material section.

Ectopic spleen presenting as a slowly enlarging lung nodule in the right lower lobe following gastric pull up operation

2021 ◽  
Vol 14 (2) ◽  
pp. e237912
Author(s):  
Anas Alfahad ◽  
Rima Hussain ◽  
Mamatha Devaraj ◽  
Alexandr Svec
Keyword(s):  
Case Report ◽  
Oesophageal Cancer ◽  
Lung Nodule ◽  
Lower Lobe ◽  
Ct Guided ◽  
Ectopic Spleen ◽  
Guided Biopsy ◽  
Ct Guided Biopsy ◽  
The Right ◽  
Gastric Pull Up

This is a case report of an elderly man who was investigated at our respiratory clinic for slowly enlarging right lower lobe lung nodule on the background of oesophageal cancer diagnosed more than 11 years ago with gastric pull up. CT guided biopsy confirms the diagnosis of intrathoracic ectopic spleen.

scholarly journals Partial anomalous pulmonary venous connection detected during right pneumonectomy

2019 ◽  
Vol 30 (3) ◽  
pp. 497-498
Author(s):  
Bülent Mustafa Yenigün ◽  
Gökhan Kocaman ◽  
Ayşegül Gürsoy Çoruh ◽  
Rıfat Murat Akal
Keyword(s):  
Lung Cancer ◽  
Congenital Anomaly ◽  
Case Report ◽  
Surgical Treatment ◽  
Septal Defect ◽  
Lung Resection ◽  
Rare Congenital Anomaly ◽  
The Right ◽  
Anomalous Pulmonary Venous Connection ◽  
Lung Resections

Abstract Partial anomalous pulmonary venous connection (PAPVC) is a rare congenital anomaly. Generally, it is seen on the right side and is associated with an atrial septal defect. Herein, we present a case of a 50-year-old male patient with a supracardiac type PAPVC detected during pneumonectomy for a right hilar mass. This is the second case report in the literature presenting surgical treatment of both lung cancer and PAPVC using pneumonectomy. Thoracic surgeons should be aware of this anomaly when they are planning to perform a major lung resection. If PAPVC and lung cancer are in the same lobe, anatomical lung resections including pneumonectomy can be safely performed.

scholarly journals Behçet's disease presenting with massive hemoptysis related to bronchovascular fistula: A case report

2021 ◽  
Vol 29 (3) ◽  
pp. 408-411
Author(s):  
Mehmet Ali Bedirhan ◽  
Naciye Arda ◽  
Elif Tanrıverdi ◽  
Volkan Yaran ◽  
Deniz Sansar ◽  
...  
Keyword(s):  
Lower Lobe ◽  
Lateral Wall ◽  
Punch Biopsy ◽  
Massive Bleeding ◽  
Pathological Examination ◽  
Massive Hemoptysis ◽  
High Dose ◽  
Thoracic Computed Tomography ◽  
Cyclophosphamide Treatment ◽  
The Right

A 37-year-old male patient was admitted to our hospital with recurrent hemoptysis, 50 mL per day. Thoracic computed tomography showed no pathology responsible for hemoptysis. Bronchoscopy revealed mucosal infiltrations and 2 to 3-mm blotch in the lateral wall of the right lower lobe. After punch biopsy of the suspected area, massive bleeding occurred. Right lower bilobectomy was performed urgently. A bronchovascular fistula was noticed at the specimen. Pathological examination result was compatible with clinically suspected Behçet"s disease. The patient was given high-dose steroid and cyclophosphamide treatment and received azathioprine maintenance treatment for 18 months. He has been symptom-free for three-year follow-up.

scholarly journals Recurrent Embolotherapy in Dieulafoy's Disease of the Bronchus

2003 ◽  
Vol 10 (6) ◽  
pp. 331-333 ◽  
Author(s):  
Praveen Bhatia ◽  
MS Hendy ◽  
E Li-Kam-Wa ◽  
PK Bowyer
Keyword(s):  
Case Report ◽  
Hospital Admissions ◽  
Vascular Anomaly ◽  
Massive Hemoptysis ◽  
Dieulafoy’S Disease ◽  
French Surgeon

Dieulafoy's disease is a vascular anomaly characterized by the presence of a dysplastic artery that is related to an epithelial ulcer. The French surgeon Georges Dieulafoy first described it in 1898. Most frequently, it is a gastrointestinal condition, but occurrence in the bronchus has been reported in a few cases. The case of a 52-year-old man with massive hemoptysis, for which he underwent successful embolotherapy 10 years previously, is described. Over the next 10 years, he had several hospital admissions due to hemoptysis, and he underwent successful embolotherapy on each occasion. This case report underlines the importance of bronchial arteriography as the investigation of choice for massive hemoptysis.

Endovascular Treatment of Aberrant Systemic Arterial Supply to Normal Basilar Segments of the Right Lower Lobe: Case Report and Review of the Literature

2002 ◽  
Vol 25 (3) ◽  
pp. 212-215 ◽  
Author(s):  
Valérie Chabbert ◽  
Sandrine Doussau-Thuron ◽  
Philippe Otal ◽  
Louis Bouchard ◽  
Alain Didier ◽  
...  
Keyword(s):  
Case Report ◽  
Endovascular Treatment ◽  
Lower Lobe ◽  
Arterial Supply ◽  
Review Of The Literature ◽  
The Right ◽  
Systemic Arterial Supply

scholarly journals Cerebral Air Embolism After Pigtail Catheter Drainage for Pneumothorax: A Case Report and Review of the Literature

2021 ◽  
Vol 8 ◽  
Author(s):  
Yi Chen ◽  
Chunhui Zheng ◽  
Qinghui Zeng ◽  
Fangbiao Zhang ◽  
Shaosong Tu ◽  
...  
Keyword(s):  
Case Report ◽  
Lower Lobe ◽  
Air Embolism ◽  
Occipital Lobe ◽  
Pigtail Catheter ◽  
Catheter Drainage ◽  
Cerebral Air Embolism ◽  
Limb Stiffness ◽  
Left Limb ◽  
The Right

Objective: Cerebral air embolism (CAE) is an extremely rare but serious complication of pigtail catheter drainage. The aim of the case report is to review our experience in the diagnosis and treatment for CAE after pigtail catheter drainage.Case presentation: In our study, we report a case of CAE following pigtail catheter insertion for pneumothorax. A 50-year-old man was diagnosed with a pulmonary mass in the right lower lobe. He underwent a right lower lobectomy. Pneumothorax was present after the removal of the chest tube. Pigtail catheter drainage was used in order to treat the pneumothorax, which resulted in convulsions, limb stiffness, and unconsciousness. A brain CT scan was immediately performed and showed multiple low densities in the right occipital lobe, which was diagnosed as CAE. Assisted breathing, antibiotic treatment, and antiepileptic therapy were used and the patient gradually improved and was discharged at 27 days of treatment but the muscle strength of the left limb was weakened.Conclusion: We analyzed and summarized the possible causes of CAE in the literature, and the findings of the case could enhance the vigilance of clinicians.

Bilateral uterine artery embolization for the management of bilateral uterine artery pseudoaneurysm during puerperium: A case report

2021 ◽  
Vol 10 (1) ◽  
pp. 22-23
Author(s):  
Sally Damra Elnour Mohammed ◽  
Mohammed Khidir Tayfor ◽  
Isra Mutasim Hamad ◽  
Mashaar Osama
Keyword(s):  
Ct Angiography ◽  
Uterine Artery ◽  
Delayed Diagnosis ◽  
Arterial Embolization ◽  
Bleeding Events ◽  
Selective Embolization ◽  
Artery Pseudoaneurysm ◽  
Life Threatening ◽  
The Right ◽  
Uterine Artery Pseudoaneurysm

Background: Uterine artery Pseudoaneurysm is a rare cause of secondary postpartum hemorrhage (PPH) and can develop after various gynecological or obstetric procedures. The delayed diagnosis of such cases often results in life threatening situations. We report a rare case of bilateral uterine artery pseudoaneurysm that led to life threatening secondary PPH after Caesarean section in a patient who had several Caesarean sections before. Case description: A 35 years old multiparus women, who had all her four deliveries by Caesarean sections, presented with recurrent massive attacks of secondary PPH 35ays after her last delivery. Rupture of aneurysm of the uterine artery was suspected and CT angiography showed that the left uterine artery seemed more dilated and was probably the source of the PPH. The bleeding site was successfully tackled by selective arterial embolization. About three weeks later the patient presented again with severe recurrence of PPH. Repeat of CT angiography showed that the source was the right uterine artery this time, which was again selectively embolized. No further bleeding events occurred up to two years follow-up. Conclusion: Rupture of aneurysm of the uterine artery can be a life-threatening condition. Clinical suspicion is essential for a prompt diagnosis Definitive diagnosis can be achieved by CT-angiography. Treatment by selective embolization can effectively stop the bleeding.

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