| Autor: |
Gudiel Arriaza P; Departamento de Ciencias Biomédicas. Universidad de León., Sánchez Serrano A; Servicio de Neumología. Complejo Asistencial Universitario de Salamanca. Salamanca. Spain., Marques do Vale J; Serviço de Pneumologia. Centro Hospitalar Tondela-Viseu. Viseu. Portugal., Gil Pereira I; Serviço de Pneumologia. Centro Hospitalar Tondela-Viseu. Viseu. Portugal., Simões Torres A; Serviço de Pneumologia. Centro Hospitalar Tondela-Viseu. Viseu. Portugal., Martín Sánchez MJ; Servicio de Radiodiagnóstico. Complejo Asistencial Universitario de Salamanca. Salamanca. Spain. |
| Jazyk: |
portugalština |
| Zdroj: |
Acta medica portuguesa [Acta Med Port] 2016 Jun; Vol. 29 (6), pp. 409-412. Date of Electronic Publication: 2016 Jun 30. |
| DOI: |
10.20344/amp.6842 |
| Abstrakt: |
Clinical presentation of haemoptysis and haematemesis often generates confusion, becoming a difficult task to determine the source of upper airway bleeding. Aortobronchial fistula is a rare entity, but has been a reported complication in patients that have undergone aortic vascular surgery. A high clinical suspicion is fundamental to making this diagnosis. A 69 year old male, with a previous diagnosis of chronic gastritis, is admitted to the emergency room for vomiting blood. In the first 24 hours after admission, the patient develops respiratory insufficiency after an episode of massive bleeding from his mouth. A computed tomography is performed, which shows a descending thoracic aortic aneurism and signs of aortobronchial fistula. Urgent thoracic endovascular repair was performed. Early symptoms of aortobronchial fistulae are nonspecific which complicates the diagnosis and can lead to treatment delay. The use of bronchoscopy in these cases is controversial. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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