Jeremy S. Ruthberg, Anish Abrol, N. Scott Howard
Case Western Reserve University School of Medicine and University Hospitals Case Medical Center.
United States
Annals of Otology Rhinology and Laryngology
Ann Otol Rhinol Laryngol 2021; 130: 528-531
DOI: 10.1177/0003489420962132
Abstract
Objective: This paper presents a case of a bronchial Dieulafoy’s lesion in a pediatric patient with recurrent hemoptysis.
Case report: A 11-year old female presented multiple times with dry cough and hemoptysis to an outside hospital, each time leading to a diagnosis of epistaxis and subsequent discharge. When she arrived to our tertiary center with heavy hemoptysis and no evidence of epistaxis, the patient was urgently taken to the operating room by both the otolaryngology and pediatric pulmonology services. Active bleeding from a Dieulafoy’s lesion on the right lower bronchus was found and selective embolization of two tortuous arteries was subsequently performed. The patient was discharged in stable condition without recurrence of hemoptysis over the last two months.
Conclusion: While rare, especially in pediatric patients, bronchial Dieulafoy’s lesions may cause severe hemoptysis and should be considered in the differential diagnosis when the etiology for hemoptysis is unclear.
Category
Abnormal Systemic to Pulmonary Arterial Collaterals or Connections
Surgical and Catheter-mediated Interventions for Pulmonary Vascular Disease
Age Focus: Pediatric Pulmonary Vascular Disease
Fresh or Filed Publication: Filed (PHiled). Greater than 1-2 years since publication
Article Access
Free PDF File or Full Text Article Available Through PubMed or DOI: No