Tuberc Respir Dis.  2015 Apr;78(2):106-111. 10.4046/trd.2015.78.2.106.

Massive Hemoptysis due to Endotracheal Hemangioma: A Case Report and Literature Review

• Yu Y
• Lee S
• An J
• Lee J
• Kim J
• Lee Y
• Jung E
• Song S
• Kim H
• Kim S

• KMID: 2320602
• DOI: http://doi.org/10.4046/trd.2015.78.2.106

Abstract

Tracheal hemangioma is a rare benign vascular tumor in adults. We reported a case of massive hemoptysis caused by a cavernous hemangioma in a 75-year-old man. This is the first report, to our knowledge, of a tracheal cavernous hemangioma that presented with massive hemoptysis. The lesion was removed with a CO2 laser under rigid laryngoscopy. Endovascular tumors, such as tracheobronchial hemangiomas, should be considered a diagnostic option in cases of massive hemoptysis without a significant underlying lung lesion.

Keyword

Hemangioma, Cavernous; Hemoptysis; Trachea

MeSH Terms

Adult
Aged
Hemangioma*
Hemangioma, Cavernous
Hemoptysis*
Humans
Laryngoscopy
Lasers, Gas
Lung
Trachea

Figure

• 

  Figure 1 Bronchoscopic findings. (A) Initial bronchoscopy showed a polypoid lesion on the ventral wall of the trachea, 5 mm below the vocal cord. (B) Follow-up bronchoscopy showed massive bleeding on the polypoid lesion. (C) Postoperative bronchoscopy showed healing and scarring of the lesion with no evidence of bleeding.

• 

  Figure 2 Chest computed tomography scans. (A) Initial imaging showed a focal enhancement smaller than 5 mm in the midline of the anterior tracheal wall (arrow). (B) Postoperative imaging shows disappearance of the previous tracheal nodular lesion.

• 

  Figure 3 Photograph of histopathological specimen showing multiple dilated vascular spaces containing a few red blood cells (A, H&E stain, ×200; B, H&E stain, ×400).

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