Tuberc Respir Dis.  2009 Jan;66(1):58-61.

A Case of Massive Hemoptysis due to Dieulafoy's Disease of the Bronchus

• Kang YR
• Lee JW
• Jeon HJ
• Lee SY
• Cha SI
• Park TI
• Park JY
• Jung TH
• Kim CH

Abstract

Dieulafoy's disease of the bronchus is rare but potentially life-threatening, and should be considered in patients with massive hemoptysis, especially from unknown etiology. We report a case of a patient with massive hemoptysis due to bronchial Dieulafoy's disease. He underwent bronchial artery embolization and surgical resection, and the post-operative specimen revealed dilated and tortuous arteries in the submucosa that presented as Dieulafoy's disease of the bronchus.

Keyword

Massive hemoptysis; Dieulafoy's disease; Bronchial artery embolization

MeSH Terms

Arteries
Bronchi
Bronchial Arteries
Hemoptysis
Humans

Figure

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  Figure 1 (A) Chest radiograph after endotracheal intubation shows fine nodular densities, mainly in the right lung parenchyma. (B) Six days later, the endotracheal tube was removed and previous parenchymal lesions are almost disappeared.

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  Figure 2 (A) Pre-embolization, selective angiography of the right bronchial artery shows contrast leakage into the right bronchial lumen with parenchymal pigmentation. (B) Post-embolization, there is no more leakage of contrast into the bronchial lumen.

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  Figure 3 Abnormal, dilated vessel is present in the submucosa beneath the cartilage. Arrows indicate the communicating site between the bronchial lumen (BL) and vascular lumen (VL). (H&E stain, ×20)

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