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At least 577 records · Page 32Linked to original sources
PubMed1978

Behçet's disease: a case with hemoptysis, pseudotumor cerbri, and arteritis.

A case of Behçet's diease with massive hemoptyis is described. The hemoptysis occurred during disease exacerbation with extensive oropharyngeal and laryngeal ulcerations, and responded to high-dose corticosteroid therapy. Other unusual manifestations included a light sensitive dermatitis, pseudotumor cerebri, and right bundle branch block. Also, arteritis and subsequent occlusion of the femoral and popliteal arteries occurred. Although uncommon, pumonary involvement may be life-threatening and should be treated with corticosteroids. Both pulmonary and neurologic involvement tend to occur with active aphthosis and respond to corticosteroids. This case underscores the protean nature of the organ system involvement in Behçet's disease and supports the concept that vasculitis is a primary pathophysiologic event.

Adult↗
PubMed1995

[Double embolization of bronchial artery to control massive hemoptysis].

Bronchial arteriography and double embolization is to block the peripheral bronches of the bronchial artery with micro-gelatin particles and then the trunk of the artery with sponge gelatin. The blood flow from the artery trunk and from the rich arterial bronches which forms B-P bypass is blocked. By this way the embolization is more complete. Clinical observation of 93 cases shows that the success rate reached 91% which indicate that the massive hemoptysis could stopped by this method.

Adult↗
PubMed1994

[Hemoptysis].

We report on a patient with hemoptysis and discuss the differential diagnosis and the relevant diagnostic steps. The importance of the patient's history and of the clinical findings, as well as the value of the radiological and endoscopic workup, are emphasized.

Aged↗
PubMed1994

Hemoptysis secondary to bronchial varices associated with alcoholic liver cirrhosis and portal hypertension.

End-stage liver disease is associated with systemic changes involving many organs. Several pulmonary, tracheal, bronchial, and pleural abnormalities have been described. In this report we describe the first case of hemoptysis secondary to bronchial and lower tracheal varices in a patient with end-stage alcoholic liver disease and portal hypertension, and explore the relationship between tracheobronchial varices and portal hypertension.

Bronchi↗
PubMed1994

Systemic arterial supply to the lung without sequestration: an unusual cause of hemoptysis.

Systemic arterial supply to the lung without sequestration is an unusual vascular anomaly in which a portion of normal lung tissue is supplied by an artery arising from the aorta. This entity shares some features with bronchopulmonary sequestration and hypogenetic lung (scimitar syndrome) but has unique imaging features that allow preoperative diagnosis. The authors describe such a case in a 21-year-old man who presented with hemoptysis.

Adult↗
PubMed1993

[A case of angiosarcoma of the heart with cardiac tamponade and repeated hemoptysis].

A 30-year-old man who died from brain metastasis of cardiac angiosarcoma is presented. His chest X-ray film showed cardiac tamponade and bilateral pleural effusion. His symptoms were improved only by drainage of the bloody pericardial and pleural effusion. During the course of the disease, multiple nodular infiltrates were seen on chest CT and hemoptysis occurred repeatedly. He presented to our hospital. On the first night of hospitalization, symptoms including headache, vomiting and disturbance of consciousness appeared and brain CT showed suspected brain metastasis. He died on the 20th hospital day with no definite diagnosis having been established. At postmortem examination, a hen's egg sized cardiac angiosarcoma was found infiltrating the right atrial wall. Metastatic foci were found in the epicardium and bilateral lungs. This case was considered to be angiosarcoma of the heart, manifesting various clinical symptoms because of bleeding from the metastatic foci.

Adult↗
PubMed1993

[Hemoptysis caused by a bronchial artery aneurysm. Apropos a case].

We discuss the case of a right bronchial artery aneurysm in its intrapulmonary trajectory which manifested itself by repeated mild hemoptysis. Diagnosis was made through selective angiography of bronchial artery and during the same procedure it was treated through transcatheter embolization. We have reviewed the literature and found 17 cases of bronchial artery aneurysms with intrapulmonary or mediastinal localization.

Adolescent↗
PubMedDate not supplied

[Hemoptysis in a patient with acquired anomaly of the arterial vascularization of the lung].

An anomalous systemic pulmonary supply may be acquired and present only one symptom: hemoptysis. The incidence of this pathology is unknown. A case of acquired systemic pulmonary arterialization was observed after surgical intervention of myocardium vascularization with the left mammary artery. The diagnosis was obtained through an arteriography of the left mammary artery. In this case, the therapy consists in ablating the affected parenchyma followed by the interposition of a bovine pericardium patch between the mammary artery and the remaining pulmonary tissue.

Angiography↗
PubMedDate not supplied

[Radiological exploration of pulmonary systemic hypervascularization. Study of our results concerning 83 cases. Confrontation of the angiographic results with the existence of hemoptysis (author's transl)].

The authors present the results of selective bronchial and parietal arteriography of pulmonary systemic hypervascularization, in 83 cases. They emphasize the advantages of previous pulmonary venous angiography and overall aortography for the success of selective injections. Failures are evaluated at 6 to 7%. On occasions, a medullary branch was opacified. No medullary accidents were noted. The angiographic appearances of the lesions encountered are described. A comparative study of the angiographic results of non-tumoral acquired lesions was carried out in those patients with hemoptysis and in those who were free from them.

Adult↗
PubMedDate not supplied

[The treatment of hemoptysis by embolization of the systemic arteries (author's transl)].

The authors present their still limited experience of embolization of systemic arteries as the treatment of hemoptysis. Their cases illustrate the indications, contra-indications, causes of failure and effectiveness of this therapeutic method in pneumology. They had to refuse who patients: in the first, the pathological bronchial artery arose from a common trunk with the intercostal which gave rise to an anterior spinal artery. The second patient showed signs of medullary involvement on injection of a pathological right intercostal artery, which in their opinion is also a contra-indication of embolization, although no anterior spinal artery was demonstrated on the arteriogrammes. Six patients were treated by embolization. In the case of one patient, treatment was a failure owing to incomplete embolization. A main esophageal pedicle supplied a high flow bronchial artery anastomosis. These important collateral esophageal vessels compromize the effectiveness of bronchial embolization.

Adult↗
PubMed1988

Combined factor VII and protein C deficiency found in a patient with peripheral pulmonary artery stenosis accompanied by progressive pulmonary hypertension and hemoptysis.

A congenital deficiency of factor VII and protein C was found in a 21-year-old female suffering from recurrent and progressive attacks of dyspnea and hemoptysis over the last four years. She has been followed in our Department since the age of 17 under a diagnosis of peripheral pulmonary artery stenosis and pulmonary hypertension as confirmed by cardiac catheterization and angiography. Prolonged prothrombin time repeatedly examined during this time period prompted us to perform detailed coagulation studies. We found that factor VII and protein C were both half normal in activity as well as in antigen. Three other members of her immediate family were also found to be affected with this combined deficiency. Since the genes encoding factor VII and protein C are located in different chromosomes, the 13th and the second chromosomes, respectively, expression of the combined hereditary deficiency is a random and very rare association on the basis of frequencies of 1:50,000 for factor VII and 1:16,000 for protein C deficiencies.

Adult↗
PubMed1998

[Pulmonary textiloma revealed by hemoptysis 12 years after thoracotomy].

INTRODUCTION: Pulmonary textiloma or retained surgical sponge is rare but can have detrimental consequences. Its diagnosis is difficult, even when using computerized tomography (CT) scan and is always a medical and legal problem. EXEGESIS: We report the case of a 46-year-old man with a history of pulmonary tuberculosis diagnosed by thoracotomy in 1986, who was admitted to hospital for hemoptysis. CT scan showed the existence of a pulmonary lesion. Clinical, radiological and fiberoptic endoscopy features mimicked an abscess or bronchiectasis. The patient underwent left inferior lobectomy. Anatomical findings led to the diagnosis of textiloma. CONCLUSION: This case shows the difficult in diagnosing pulmonary textiloma, even when using CT scan. Textiloma should be considered when an atypical pulmonary mass is found in a patient with past history of thoracotomy.

Follow-Up Studies↗
PubMed2006

Fatal hemoptysis from invasive Aspergillus niger in a patient with cavitary lung disease and Mycobacterium avium complex infection.

Invasive aspergillosis typically afflicts immunocompromised patients, whereas pulmonary aspergilloma is a recognized complication of pre-existing cavitary lung disease in immunocompetent hosts. In both cases, the most prevalent pathogens are Aspergillus fumigatus and Aspergillus flavus. We describe a case of fatal hemoptysis from invasive Aspergillus niger infection in the setting of bullous lung disease, steroid-treated sarcoidosis, and Mycobacterium avium complex infection. This report highlights the potential for A. niger to cause invasive disease in conjunction with other pathologic processes in the lung.

Adult↗
PubMed2005

[Endobronchial hamartoma revealed by hemoptysis].

UNLABELLED: Hamartoma is the most frequent benign tumor of the lung. Its endo bronchial location is rare. We report two cases of endo bronchial hamartoma occurring in 2 men aged 68 and 60 years respectively. The two cases were revealed by hemoptysis. Bronchial fibroscopy showed a bud respectively in the left stump and in the lower left bronchus. Treatment consisted in a pneumonectomy and a lower lobectomy. A histological examination confirmed the diagnosis of endo bronchial hamartoma. CONCLUSION: Diagnosis of endobronchial hamartoma before surgery is difficult. Pulmonary resections are often necessary because of parenchyma lelions caused bronchial obstruction.

Adult↗