Korean J Med.  2004 Nov;67(Suppl 3):S752-S756.

Massive bleeding caused by bronchoscopic biopsy of an abnormal bronchial artery

Affiliations
  • 1Department of Internal Medicine, Fatima Hospital, Daegu, Korea. persimmonkim@lycos.co.kr
  • 2Department of Thoracic and Cardiovascular Surgery, Fatima Hospital, Daegu, Korea.
  • 3Department of Pathology, Fatima Hospital, Daegu, Korea.

Abstract

A 39 years old woman was admitted to the hospital because of recurrent hemoptysis. On a bronchoscopic inspection, nodular shaped mass-like lesions were found on the orifice of right middle and lower lobar bronchus and a biopsy was performed. This was immediately followed by massive bleeding into the airways. The bleeding could not be controlled by nonsurgical treatment. Immediately she underwent a right middle and lower bilobectomy in order to control of bleeding. Biopsy revealed the bleeding to have been caused by a biopsy injury of an abnormal artery that had run superficially in the bronchial mucosa.

Keyword

Bronchoscopy; Biopsy; Hemorrhage; Bronchial arteries

MeSH Terms

Adult
Arteries
Biopsy*
Bronchi
Bronchial Arteries*
Bronchoscopy
Female
Hemoptysis
Hemorrhage*
Humans
Mucous Membrane
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