| Autor: |
Avdimiretz, Nicholas, Glicksman, Amy, Dell, Sharon, John, Philip, Moraes, Theo J. |
| Zdroj: |
BMJ Case Reports; 10/1/2020, Vol. 13, p1-5, 5p |
| Abstrakt: |
A 9-year-old previously well girl presented with multiple episodes of large volume haemoptysis and right sided consolidation. She continued to have haemoptysis despite intravenous antibiotics. CT chest suggested a right mainstem endobronchial lesion; this was not seen on bronchoscopy where an extensive blood clot was removed. Distal flexible bronchoscopy could not identify the source of bleeding. CT angiogram revealed a broncho-pulmonary arterial fistula, a rare cause of haemoptysis in children. Endovascular embolisation resulted in short-term symptom resolution; however, haemoptysis recurred months later, leading to reembolisation. This case highlights a stepwise approach to the workup of large volume haemoptysis. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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