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

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.

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

Sao Paulo Medical Journal ◽

10.1590/1516-3180.2016.0258191116 ◽

2017 ◽

Vol 135 (4) ◽

pp. 396-400 ◽

Cited By ~ 8

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.

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Haemorrhagic Cerebrovascular Accident (CVA) Etiology and Case Report

Acta Medica Transilvanica ◽

10.2478/amtsb-2020-0061 ◽

2020 ◽

Vol 25 (4) ◽

pp. 16-18

Author(s):

Mihaela Luchian ◽

Adriana Săceleanu

Keyword(s):

Case Report ◽

Medical Treatment ◽

Intracerebral Haemorrhage ◽

Vascular Malformation ◽

Cerebrovascular Accident ◽

Intracranial Haemorrhage ◽

Spontaneous Bleeding ◽

The Third ◽

Cerebral Parenchyma ◽

Spontaneous Intracerebral Haemorrhage

Abstract A haemorrhagic cerebrovascular accident refers to a spontaneous bleeding in the cerebral parenchyma, located either supratentorial or infratentorial, that occurs in the absence of a surgical or traumatic cause. The incidence is estimated at 12-15 new cases per 100.000 inhabitants per year. Intracranial haemorrhage is the third most frequent cause of stroke, the vast majority being represented by primary/hypertensive (spontaneous) intracerebral haemorrhage, ruptured saccular aneurysm, a vascular malformation or haemorrhage associated with the use of anticoagulants or thrombolytic agents. A cerebral tomography computer examination is the examination of choice in diagnosis of haemorrhagic CVAs. The treatment can be either therapeutic or surgical, depending on the case, with the consideration that an immediate medical treatment is mandatory for the best odds of recovery.(1)

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Recurrent Embolotherapy in Dieulafoy's Disease of the Bronchus

Canadian Respiratory Journal ◽

10.1155/2003/729714 ◽

2003 ◽

Vol 10 (6) ◽

pp. 331-333 ◽

Cited By ~ 22

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.

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Massive hemoptysis due to recurrence of bronchial to pulmonary vascular malformation: A case report

Respiratory Medicine Case Reports ◽

10.1016/j.rmcr.2019.02.005 ◽

2019 ◽

Vol 26 ◽

pp. 248-250

Author(s):

Chelsey White ◽

Pedro Ottaviano ◽

Nancy Munn ◽

Yousef Shweihat ◽

Fuad Zeid

Keyword(s):

Case Report ◽

Vascular Malformation ◽

Massive Hemoptysis

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Endobronchial ultrasound and bronchial artery embolization for Dieulafoy's disease of the bronchus in a teenager: A case report

Respiratory Medicine Case Reports ◽

10.1016/j.rmcr.2015.04.007 ◽

2015 ◽

Vol 16 ◽

pp. 20-23 ◽

Cited By ~ 1

Author(s):

Oormila Ganganah ◽

ShuLiang Guo ◽

Manu Chiniah ◽

Shambhu Kumar Sah ◽

Jinxing Wu

Keyword(s):

Case Report ◽

Bronchial Artery ◽

Endobronchial Ultrasound ◽

Bronchial Artery Embolization ◽

Artery Embolization ◽

Dieulafoy’S Disease

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Premalignant and Malignant Lesions of the Heterotopic Pancreas in the Esophagus: a Case Report and Review of the Literature

Journal of Gastrointestinal and Liver Diseases ◽

10.15403/jgld.2014.1121.242.uly ◽

2015 ◽

Vol 24 (2) ◽

pp. 235-239 ◽

Cited By ~ 9

Author(s):

Jan Ulrych ◽

Vladimir Fryba ◽

Helena Skalova ◽

Zdenek Krska ◽

Tomas Krechler ◽

...

Keyword(s):

Case Report ◽

Gastrointestinal Tract ◽

Unusual Case ◽

Accurate Diagnosis ◽

Heterotopic Pancreas ◽

Premalignant Lesions ◽

Resected Specimen ◽

Review Of The Literature ◽

Severe Dysphagia ◽

Malignant Lesions

Heterotopic pancreas is a congenital pathology of the gastrointestinal tract, particularly rare in the esophagus. Both symptomatology and findings during preoperative examinations are non-specific and therefore do not often lead to an accurate diagnosis, which is usually revealed only by histopathological assessment of a resected specimen. We report an unusual case of a patient suffering from severe dysphagia caused by heterotopic pancreas in the distal esophagus with chronic inflammation and foci of premalignant changes. This article also reviews 14 adult cases of heterotopic pancreas in the esophagus previously reported in the literature, with the aim of determining the clinical features of this disease and possible complications including rare premalignant lesions and malignant transformation. Especially with regard to those complications, we suggest that both symptomatic and incidentally found asymptomatic lesions should be resected.

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Case Report: Hemoptysis localization – hearing with your eyes

POCUS Journal ◽

10.24908/pocus.v1i2.13253 ◽

2016 ◽

Vol 1 (2) ◽

pp. 7

Author(s):

Barry Chan, MD

Keyword(s):

Case Report ◽

Respiratory Failure ◽

Hemodynamic Instability ◽

Clinical Vignette ◽

Massive Hemoptysis ◽

Airway Patency ◽

Peripheral Site ◽

Adventitious Sound

Clinical Vignette: 45 year old was transferred from a peripheral facility for acute massive hemoptysis though maintained sufficient airway patency with no evidence of hemodynamic instability or respiratory failure. Thoracic auscultation revealed vesicular breathing with no adventitious sound. CXR from the peripheral site was normal.

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