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At least 253 records · Page 14Linked to original sources
PubMed1991

[Hemoptysis: a prospective study of 108 cases in an emergency service].

A prospective study is performed in 108 patients presenting hemoptysis who were attended in the emergency department. Final diagnosis was achieved in 89 cases (82.4%), being lung infections of tuberculous origin or not, neoplasias, and chronic obstructive lung emphysema the main observed etiologies. A low percentage of severe hemoptysis is found (5.6%). Diagnosis was obtained in 79.6% of patients by clinical history, physical exam, chest x-ray and ORL exam. Only 13.6% of patients who were not diagnosed in the Emergency department were later diagnosed by follow up and performance of complementary tests. Similarly, the lack of an initial etiological diagnosis had no repercussion, by itself, in a worse prognosis. Therefore, it is recommended to perform a single strict evolution control in patients with hemoptysis of unknown origin who present risk factors of lung neoplasia (male sex, age greater than 40 years, smoking greater than 45 packs/year).

Age Factors↗
PubMed1990

Paragonimiasis: an infrequent but treatable cause of hemoptysis in systemic lupus erythematosus.

Hemoptysis in systemic lupus erythematosus (SLE) may occur in up to 17% of cases. The vast majority of the cases are secondary to bacterial, tuberculosis or opportunistic infections. Also uremia, pulmonary embolism and lung hemorrhage must be considered. The majority of the above referred entities are usually alarming events in any patient with SLE. In contrast, we describe a patient with inactive SLE, who developed hemoptysis secondary to Paragonimus sp., which was treated "easily" with praziquantel. Fluke infection must be considered in the differential diagnosis of hemoptysis in SLE.

Adult↗
PubMedDate not supplied

[Hemoptysis in patients with normal roentgenologic findings].

There have been examined 145 patients with hemoptyses and normal x-ray findings. The majority of patients were males, smokers, more than 45 years old. Bronchoscopically the most common findings have been signs of inflammation and blood traces. The most common cause of hemoptyses has been chronic bronchitis in patients older than 45 years, and bronchoectasis in younger patients. Bronchogenous carcinoma was discovered in 8 patients: in 5 by bronchoscopic examination at hemoptysis occurence and in 3 by subsequent follow up after 8, 15 and 20 months. Pulmonary vessel malformations have been discovered in 9 patients, and cardiac diseases have been the cause of hemoptysis in 7 patients. The cause of hemoptysis remained undetected in 33 (22.8%) patients.

Female↗
PubMed1989

[A case of the management of developed collateral vessels through left thoracotomy of recurrence of right bronchiectasia with hemoptysis].

A 40-year-old woman, with a previous history of right S1, S2 segmentectomy and right middle lobectomy for bronchiectasis with hemoptysis at the age of 24, was admitted for frequent hemoptysis. As a result of a chest roentgenogram, a CT scan and bronchographic examination, a recurrence of bronchiectasis in the right ventral segment of the upper lobe (S3) and the right superior segment of the lower lobe (S6) was diagnosed. The bronchial arteriogram and aortogram showed four vessels going into this region and a shunt lesion was located on located on the proximal side of the pulmonary artery. If a right pneumonectomy had been done, pulmonary function would have gotten worse. If a right thoracotomy had been performed, there would have been much bleeding from the entering vessels. Therefore, a left thoracotomy was preformed and those vessels ligated. The patient is doing well one year after the operation without hemoptysis.

Adult↗
PubMed1989

Fatal hemoptysis: aortobronchial fistula as a preventable cause of death.

Hemoptysis as a result of leaking aortic aneurysms occurs rarely and has a high fatality rate. A case of chronic hemoptysis resulting from an aortobronchial fistula in a patient with an aortic prosthesis is reported. Hemoptysis, even when chronic, should prompt investigation of the possibility of a leaking graft in patients with prosthetic aortic grafts. Chest x-ray and bronchoscopy usually yield nonspecific findings. Aortography may demonstrate an aortic aneurysm and is the preferred diagnostic procedure; however, an aggressive surgical approach is often necessary.

Adult↗
PubMed1988

Bronchopulmonary endometriosis: a rare cause of hemoptysis.

We have reported a case of hemoptysis caused by pulmonary parenchymal endometriosis which was apparently successfully treated with danazol. Bronchopulmonary endometriosis is a very unusual cause of hemoptysis, and should be suspected on the basis of cyclic hemoptysis with menstruation. Danazol is effective therapy, but information regarding optimal dosage and rates of recurrence after completion of therapy is limited at this time.

Adult↗
PubMed1986

Hemoptysis as a presenting symptom of pheochromocytoma.

Hemoptysis as a presenting symptom of pheochromocytoma has not received wide recognition. This report describes a patient with a pheochromocytoma complicated by hemoptysis. The hemoptysis occurred during paroxysms of hypertension and was cured by surgical removal of the tumor. Knowledge of this association could lead to more rapid diagnosis.

Adrenal Gland Neoplasms↗
PubMed1985

Hemoptysis as the sole presentation of thyroid carcinoma.

A 23-year-old man experienced hemoptysis in 1968, secondary to papillary carcinoma of the thyroid with metastasis to the lungs. The patient was treated initially with thyroidectomy and Iodine- 131 (131I), and subsequently with radical neck dissection. Following a period of fifteen years in which the patient was well clinically, he experienced recurrent hemoptysis. No other source of bleeding was identified, and the hemoptysis was attributed to the lung metastases of the thyroid carcinoma.

Adenocarcinoma, Papillary↗
PubMed1983

Emergency lobectomy for massive hemoptysis in cystic fibrosis.

Massive hemoptysis occurs in 50% to 70% of patients with cystic fibrosis and carries an immediate mortality of up to 32%. Cystic fibrosis is regarded by many as a disease in which thoracic operations are ill-advised. A 21-year-old woman with mild cystic fibrosis presented with unrelenting massive hemoptysis, was not helped by medical management, and underwent a successful left upper lobectomy. We suggest that thoracotomy does have a role in the management of massive hemoptysis in selected patients with cystic fibrosis. On the basis of our case and all other cases reported in the English literature, we suggest criteria for determining which patients are suitable candidates for emergency thoracotomy.

Adult↗
PubMed1984

[Catamnestic study of 20 cases of cryptogenic hemoptysis. Average of 5 1/2-year follow-ups].

A report is presented on 20 patients with cryptogenetic hemoptysis. The following investigations are necessary and sufficient for diagnosis: history, physical examination, chest roentgenogram in posteroanterior and lateral projection, fiberoptic bronchoscopy with bacterial and cytologic analysis of bronchial brushing material, and determination of coagulation factors. Further explorations can be regarded as unnecessary since the above program discloses the cause of hemoptysis in more than 90% of cases. The prognosis of cryptogenetic hemoptysis was good in the 20 cases studied, which were followed up for 1 to 12 (mean 5.5) years.

Adult↗
PubMed1995

[A case of eosinophilic pneumonia presenting as hemoptysis, with epithelioid cell granuloma on lung biopsy].

A 60-year-old woman was admitted because of hemoptysis and dyspnea on exertion, which began one month before admission and gradually increased. Chest X-ray film taken on admission showed an infiltrative shadow in and around the left posterior basal segment. Chest CT disclosed peripheral and patchy consolidation with some air bronchograms and interstitial thickening in the left basal segments. Bronchoalveolar lavage fluid contained many red blood cells and abnormally high numbers of eosinophils and lymphocytes. The specimen obtained by CT-guided lung biopsy revealed epithelioid cell granulomas, hemosiderin-laden macrophages, diffuse infiltration of small round cells with a few eosinophils and monocytes in the alveolar septa, and many eosinophils in the intraalveolar exudates. No pathogens of pulmonary eosinophilia were identified and there was no secondary pulmonary eosinophilia. Therefore, we diagnosed eosinophilic pneumonia with no obvious cause. Hemoptysis may have been due to alveolar hemorrhage of eosinophilic pneumonia. The hemoptysis and chest infiltrative shadow disappeared rapidly after the start of treatment with oral prednisolone.

Biopsy↗
PubMed1994

[Indication for emergency pulmonary resection in patients with massive hemoptysis].

Emergency pulmonary resection was done in 24 patients with massive hemoptysis from January 1983 to December 1992. The curative, morbidity and mortality rates were 95.8%, 16.6% and zero respectively. Above mentioned result was better than that of the author's report in 1986. It was shown that emergency lung resection should be active when the drug therapy failed, the site of hemoptysis was clear, the lung lesion was localized and the general condition and cardiopulmonary function was good, especially the cases had a history of suffocation, hypotension or shock. In spite of the present result of emergency lung resection for massive hemoptysis tends to be better, the operative complication is still higher than routine pulmonary resection. Therefore, the operative indication should be strictly handled. For cases whose surgical indication is inadequate, bronchial arterial embolization is an effective and relative safe method.

Adolescent↗
PubMed1994

Hemoptysis in a patient with congestive heart failure and pulmonary emboli.

This article reports a case of profuse hemoptysis in pulmonary embolism and reviews the literature. A 74-year-old patient with hypertension and dilated cardiomyopathy was admitted to the hospital for exacerbation of congestive heart failure and hemoptysis. During hospitalization, the patient had hemoptysis of 270 cc during a 24-hour period. Chest radiograph showed bilateral lower lobe infiltration. Fiberoptic bronchoscopy was performed and revealed active bleeding from both lower lobes of the lungs. An endobronchial lesion was not seen, and the patient had an open lung biopsy. Histological examination of the lung tissue revealed an organized thrombus.

Aged↗
PubMed1994

[A case of gauzeoma with recurrent massive hemoptysis mimicking aspergilloma].

A 52-year-old woman who had received a right upper lobectomy and thoracoplasty for the treatment of pulmonary tuberculosis 30 years prior to the present disorder, was admitted to out hospital with massive hemoptysis. We diagnosed aspergilloma clinically because chest X-ray showed a fungus ball-like mass with meniscus sign. Right middle and lower lobectomies were performed after the 7th bronchial arterial embolization for recurrent hemoptysis. The resected specimen showed a mass of old gauze, a so-called "gauzeoma". We have found no previous reports of gauzeoma with both meniscus sign and recurrent massive hemoptysis mimicking aspergilloma.

Aspergillosis↗
PubMed1996

[An operative case of suture-granuloma which resulted from an intra-pulmonary treatment 10 years ago and manifested hemoptysis].

We experienced a 27-year-old male patient with recurrent hemoptysis manifested by granuloma which resulted from surgical repair that was performed for right pneumothorax using unabsorbable sutures (braided silk) before 10 years. The patient had been suffering from fever and cough for three months before hemoptysis. Chest X-ray and CT scan films showed a mass shadow in the lateral side of the right lung field. Furthermore, bronchoscopy revealed bleeding in B3 of the right lung. The patient underwent right upper lobectomy, which disclosed that hemoptysis was due to a granuloma (2.3 x 3.2 cm in size) formed around sutures. The granuloma was caused not only by foreign body reaction but also by transbronchial infection.

Adult↗
PubMed1977

Hemoptysis: diagnosis and management.

Hemoptysis is one of the most important symptoms of cardiopulmonary disease-first, because bleeding even in small amounts may indicate the presence of such serious diseases as bronchogenic carcinoma or active tuberculosis, and second, because untreated massive hemorrhage is associated with a high mortality rate. The cause of hemoptysis may be suggested by the history, physical examination or chest x-ray findings, but often diagnostic procedures such as bronchoscopy, bronchography and pulmonary angiography are needed for definitive diagnosis. The importance of early localization of the bleeding site and surgical intervention in patients with massive hemoptysis is stressed.

Adult↗
PubMed1997

[Super selective bronchial artery embolization using metallic coils in the management of hemoptysis].

Hemoptysis is one of the most important clinical problems of cardiopulmonary disease with high mortality rate. Its management is routinely performed with Bronchial Artery Embolization (BAE). However, it was reported that BAE had some disadvantages such as spinal injury and recurrent bleeding. In order to prevent spinal injury, we tried the super selective bronchial artery embolization (ss-BAE). This technique is especially available in the occlusion of the bronchial artery forming the common trunk with the spinal artery. Besides, BAE, considered to be only a palliative treatment, might cause recanalization due to reabsorption of the occlusive agent. So we used metallic coils to prevent this drawback. The ss-BAE with metallic coils was performed in 2 cases who had refractory hemoptysis against conservative therapy. Hemoptysis disappeared in both cases. The ss-BAE with metallic coils was shown to be safer and more effective than ordinary BAE.

Aged↗
PubMed1996

Clinical research on acute hemoptysis treated with kexue ning.

The efficacy of Kexue Ning (stopping hemoptysis) in the treatment of acute hemoptysis, and its comparison with that of the control group (treated with western medicine) are reported in this paper. The results showed that both the time for cessation of hemoptysis and the cure rate were better in the therapeutic group than in the control group. In addition, marked improvement in blood rheology after treatment was also found in the therapeutic group, but not in the control group.

Acute Disease↗