Dieulafoy's disease of the bronchus: report of a case and review of the literature

被引:25
作者
Fang, Yu [1 ]
Wu, Qingchen [1 ]
Wang, Bin [1 ]
机构
[1] Chongqing Med Univ, Affiliated Hosp 1, Dept Thorac & Cardiovasc Surg, Chongqing 400016, Peoples R China
关键词
Dieulafoy's disease of bronchus; Hemoptysis; Embolization; Lobectomy; Bronchial artery; HEMOPTYSIS; EMBOLIZATION; ARTERY; CT;
D O I
10.1186/s13019-014-0191-8
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Dieulafoy's disease is a vascular anomaly characterized by the presence of a tortuous dysplastic artery in the submucosa. Although frequently occurring in the gastrointestinal tract, multiple cases of Dieulafoy's disease in the bronchus have been reported in the literature. Methods and results: We report a case of a 15-year-old boy suffering recurrent massive hemoptysis. Bilobectomy stopped bleeding after unsuccessful treatment with embolization of bronchial artery. Conclusion: It is concluded a congenital origin of this disease. Angiography and endobronchial ultrasonography can be used to diagnose Dieulafoy's disease of bronchus whereas bronchoscopy biopsy should be avoided. Surgery is needed when embolization fails.
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页数:5
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