Endobronchial lesion in an adolescent with hemoptysis biopsy or not to biopsy?
EBUS
bronchial Dieulafoy disease
endobronchial lesion
endobronchoal ultrasound
hemoptysis
Journal
Pediatric pulmonology
ISSN: 1099-0496
Titre abrégé: Pediatr Pulmonol
Pays: United States
ID NLM: 8510590
Informations de publication
Date de publication:
04 2023
04 2023
Historique:
received:
13
01
2023
accepted:
18
01
2023
pubmed:
27
1
2023
medline:
21
3
2023
entrez:
26
1
2023
Statut:
ppublish
Résumé
An 11-year-old girl was brought with complaints of recurrent massive hemoptysis. A computerized tomography (CT) of the chest showed ground glass opacities on the right lower lobe, and a CT angiography showed hypertrophied right pulmonary artery. Flexible bronchoscopy revealed a sessile friable lesion in the right lower lobe, raising suspicion of either a tumor or a vascular malformation. An endobronchial ultrasound (EBUS) revealed a cystic lesion in the submucous plane, with vascularity noted on Doppler mode. This confirmed the diagnosis of bronchial Dieulafoy disease. A bronchial angiography revealed a vascular malformation overlying the lesion with a bronchopulmonary shunt, which was ligated. This case demonstrates the importance of EBUS in endobronchial lesions, to avoid biopsy of a vascular malformation.
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1289-1291Informations de copyright
© 2023 Wiley Periodicals LLC.
Références
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Qian X, Du Q, Wei N, Wang M, Wang H, Tang Y. Bronchial Dieulafoy's disease: a retrospective analysis of 73 cases. BMC Pulm Med. 2019;19(1):104.
Chen Y, Mao Y, Cheng X, et al. Case report: a case of infant bronchial Dieulafoy's disease and article review. Front Pediatr. 2021;9:674509.
Maxeiner H. Lethal hemoptysis caused by biopsy injury of an abnormal bronchial artery. Chest. 2001;119(5):1612-1615.