Acute Hemoptysis Redefined: A Deadly Presentation
An aortic aneurysm is a permanent localized arterial dilation with more than 50% of the artery diameter. Among the complications of an aortic aneurysm, one of the rarest is the aorto-bronchial fistula, which presents with massive hemoptysis; this condition is lethal if not treated surgically. We rep...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2018-01-01
|
| Series: | Case Reports in Pulmonology |
| Online Access: | http://dx.doi.org/10.1155/2018/2123140 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832549563273052160 |
|---|---|
| author | Claudio Galvis Juan M. Galvis Juan Guardiola Adrian P. Umpierrez De Reguero |
| author_facet | Claudio Galvis Juan M. Galvis Juan Guardiola Adrian P. Umpierrez De Reguero |
| author_sort | Claudio Galvis |
| collection | DOAJ |
| description | An aortic aneurysm is a permanent localized arterial dilation with more than 50% of the artery diameter. Among the complications of an aortic aneurysm, one of the rarest is the aorto-bronchial fistula, which presents with massive hemoptysis; this condition is lethal if not treated surgically. We report a 90-year-old man with no significant medical history who presented to the emergency department with abrupt onset of hemoptysis; his chest X-ray displayed left upper lobe opacity with widened mediastinum. CT chest revealed aneurysmatic dilatation of the aorta, left upper lobe opacity suspicious of pulmonary aortic fistula. Thoracic surgery was consulted but due to his poor functional status surgery was deferred. On the second day of hospitalization, the patient developed another episode of massive hemoptysis resulting in hypovolemic shock and expired. This case epitomizes the relevance of broad differential diagnosis for hemoptysis and the prompt assessment and management of the patients with this condition. |
| format | Article |
| id | doaj-art-1d86f681e0bc49edba3f848add8221ac |
| institution | Kabale University |
| issn | 2090-6846 2090-6854 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pulmonology |
| spelling | doaj-art-1d86f681e0bc49edba3f848add8221ac2025-02-03T06:10:52ZengWileyCase Reports in Pulmonology2090-68462090-68542018-01-01201810.1155/2018/21231402123140Acute Hemoptysis Redefined: A Deadly PresentationClaudio Galvis0Juan M. Galvis1Juan Guardiola2Adrian P. Umpierrez De Reguero3Departamento de Medicina de Emergencias, Hospital Teodoro Maldonado Carbo, Guayaquil, Guayas, EcuadorDepartment of Pulmonary, Critical Care, and Sleep Disorders Medicine, University of Louisville School of Medicine, Louisville, Kentucky, USADepartment of Pulmonary, Critical Care, and Sleep Disorders Medicine, University of Louisville School of Medicine, Louisville, Kentucky, USADepartment of Medicine, Division of General Internal Medicine, Section of Hospital Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USAAn aortic aneurysm is a permanent localized arterial dilation with more than 50% of the artery diameter. Among the complications of an aortic aneurysm, one of the rarest is the aorto-bronchial fistula, which presents with massive hemoptysis; this condition is lethal if not treated surgically. We report a 90-year-old man with no significant medical history who presented to the emergency department with abrupt onset of hemoptysis; his chest X-ray displayed left upper lobe opacity with widened mediastinum. CT chest revealed aneurysmatic dilatation of the aorta, left upper lobe opacity suspicious of pulmonary aortic fistula. Thoracic surgery was consulted but due to his poor functional status surgery was deferred. On the second day of hospitalization, the patient developed another episode of massive hemoptysis resulting in hypovolemic shock and expired. This case epitomizes the relevance of broad differential diagnosis for hemoptysis and the prompt assessment and management of the patients with this condition.http://dx.doi.org/10.1155/2018/2123140 |
| spellingShingle | Claudio Galvis Juan M. Galvis Juan Guardiola Adrian P. Umpierrez De Reguero Acute Hemoptysis Redefined: A Deadly Presentation Case Reports in Pulmonology |
| title | Acute Hemoptysis Redefined: A Deadly Presentation |
| title_full | Acute Hemoptysis Redefined: A Deadly Presentation |
| title_fullStr | Acute Hemoptysis Redefined: A Deadly Presentation |
| title_full_unstemmed | Acute Hemoptysis Redefined: A Deadly Presentation |
| title_short | Acute Hemoptysis Redefined: A Deadly Presentation |
| title_sort | acute hemoptysis redefined a deadly presentation |
| url | http://dx.doi.org/10.1155/2018/2123140 |
| work_keys_str_mv | AT claudiogalvis acutehemoptysisredefinedadeadlypresentation AT juanmgalvis acutehemoptysisredefinedadeadlypresentation AT juanguardiola acutehemoptysisredefinedadeadlypresentation AT adrianpumpierrezdereguero acutehemoptysisredefinedadeadlypresentation |