An unusual and deadly cause for massive haemoptysis

Kushal Naha, Ranjan K. Shetty, G. Vivek, Rahul Magazine

Research output: Contribution to journalArticle

Abstract

We report a 47-year-old man with diabetics presenting with massive haemoptysis. Physical examination showed moderate pallor, but was otherwise normal. Evaluation showed normal bleeding and clotting parameters. Aerobic cultures of sputum samples and acid-fast staining were negative. CT showed fusiform aneurysmal dilation of the descending thoracic aorta compressing the left main bronchus with secondary collapse of the left lower and lingular lobes. Massive haemoptysis was attributed to probable erosion of the aneurysm into the left main bronchus. Retrospective questioning failed to elicit pathognomic symptoms of aortic aneurysm including chest pain. While in the hospital, the patient had another bout of massive haemoptysis, requiring endotracheal intubation for airway protection. Chest xray revealed homogeneous opacification of the left hemithorax. The patient was treated with antitussives and blood transfusions and referred to a higher centre for endovascular stent grafting of the aneurysm and simultaneous surgical repair of the left main bronchus. Aortic aneurysm is a rare but deadly cause for haemoptysis, as rapid exsanguination can lead to cardiovascular collapse and death.

Original languageEnglish
Article number008160
JournalBMJ Case Reports
DOIs
Publication statusPublished - 12-04-2013

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Hemoptysis
Bronchi
Aortic Aneurysm
Thoracic Aorta
Aneurysm
Exsanguination
Antitussive Agents
Pallor
Negative Staining
Intratracheal Intubation
Sputum
Chest Pain
Blood Transfusion
Physical Examination
Stents
Dilatation
Thorax
X-Rays
Hemorrhage
Acids

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Naha, Kushal ; Shetty, Ranjan K. ; Vivek, G. ; Magazine, Rahul. / An unusual and deadly cause for massive haemoptysis. In: BMJ Case Reports. 2013.
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An unusual and deadly cause for massive haemoptysis. / Naha, Kushal; Shetty, Ranjan K.; Vivek, G.; Magazine, Rahul.

In: BMJ Case Reports, 12.04.2013.

Research output: Contribution to journalArticle

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