An unusual case of iatrogenic haemoptysis.
| Autor: | Pal K; Department of Internal Medicine, University of Florida College of Medicine, Jacksonville, Florida, USA., Seeram VK; Department of Pulmonary and Critical Care, University of Florida College of Medicine, Jacksonville, Florida, USA., Cury JD; Department of Pulmonary and Critical Care, University of Florida College of Medicine, Jacksonville, Florida, USA. |
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| Jazyk: | angličtina |
| Zdroj: | BMJ case reports [BMJ Case Rep] 2014 Jul 09; Vol. 2014. Date of Electronic Publication: 2014 Jul 09. |
| DOI: | 10.1136/bcr-2014-204673 |
| Abstrakt: | Summary Transbronchial needle aspiration (TBNA) of the hilar and mediastinal lymph nodes and lung masses is a powerful tool in the diagnostic evaluation of mediastinal adenopathies including malignancies. As its use becomes more widespread, few cases have been reported with complications. We present a case of a 57-year-old man who was transferred to our institution for uncontrolled haemoptysis following endobronchial ultrasound-guided TBNA. At our institution, emergent bronchoscopy revealed a large clot distal to the right upper lobe bronchus without a visible fistula tract. A CT pulmonary angiogram and a subsequent pulmonary angiogram showed an aneurysm originating from the right superior pulmonary vein. Management was conservative with strict blood pressure control and lowering the left atrial pressure allowed spontaneous resolution of the bleed. (2014 BMJ Publishing Group Ltd.) |
| Databáze: | MEDLINE |
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