Massive paediatric pulmonary haemorrhage in Dieulafoy's disease: Roles of CT angiography, embolisation and bronchoscopy.
Airway Obstruction
/ diagnostic imaging
Angiography, Digital Subtraction
Bronchial Arteries
/ abnormalities
Bronchoscopy
Child
Computed Tomography Angiography
Diagnosis, Differential
Embolization, Therapeutic
Endoscopy, Digestive System
Gastrointestinal Hemorrhage
/ diagnosis
Hematemesis
/ etiology
Hemoptysis
/ etiology
Hemorrhage
/ complications
Humans
Lung Diseases
/ complications
Male
Severity of Illness Index
Thrombosis
/ diagnosis
Tomography, X-Ray Computed
Angiography
Bronchial Dieulafoy’s Disease
Bronchoscopy
Pulmonary haemorrhage
Journal
Paediatric respiratory reviews
ISSN: 1526-0550
Titre abrégé: Paediatr Respir Rev
Pays: England
ID NLM: 100898941
Informations de publication
Date de publication:
Nov 2020
Nov 2020
Historique:
received:
31
05
2020
accepted:
01
06
2020
pubmed:
19
7
2020
medline:
21
9
2021
entrez:
19
7
2020
Statut:
ppublish
Résumé
Acute, major pulmonary haemorrhage in children, is rare, may be life-threatening and at times presents atypically. Dieulafoy's disease of the bronchus presenting with recurrent or massive hemoptysis was first described in adults. Prior to reviewing the literature, we report an illustrative case of bronchial Dieulafoy's disease (BDD) in a child presenting unusually with massive apparent hematemesis. The source of bleeding is a bronchial artery that fails to taper as it terminates within the bronchial submucosa. A high index of suspicion is required to identify such lesions via radiological imaging and the role of bronchial artery embolisation is highlighted with video images of angiography included.
Identifiants
pubmed: 32680823
pii: S1526-0542(20)30085-3
doi: 10.1016/j.prrv.2020.06.001
pii:
doi:
Types de publication
Case Reports
Journal Article
Video-Audio Media
Langues
eng
Sous-ensembles de citation
IM
Pagination
100-105Informations de copyright
Copyright © 2020 Elsevier Ltd. All rights reserved.