Emine GÜZEY, Muhammed Reha ÇELİK, Ramazan KUTLU, Murat YALÇINSOY, Ünal AKEL

A rare case of massive hemoptysis: Long-term complication of thoracotomy; rib fracture

Massive hemoptysis is one of the fatal condition in the symptoms of chest diseases. Airway protection and etiology therapy is life-saving. A 29-year-old male patient was referred to our center for massive hemoptysis. He had 10 packet-years of smoking and lung cyst operation 20 years ago. Bleeding could not be stopped by bronchoscopic intervention in the outer center. Pulmonary imaging showed consolidation and laceration with right rib fracture and bone density within the parenchyma. Bronchial artery embolization was performed. He was operated due to lack of bleeding control. Recurrentoperations were performed until pneumonectomy due to expansion defect. The patient has been followed up for 2 years and is asymptomatic. Hemoptysis was considered due to the operation complication performed 20 years ago.We aimed to present a patient who presented with massive hemoptysis due to a previously unreported cause.

PDF

___

1. Chun J-Y, Morgan R, Belli A-M. Radiological management of hemoptysis: a comprehensive review of diagnostic imaging and bronchial arterial embolization. Cardiovascular Intervention Radiol 2010;33:240-50.
2. Yoon YC, Lee KS, Jeong YJ, et al. Hemoptysis: bronchial and nonbronchial systemic arteries at 16– detector row CT. Radiology. 2005;234:292-8.
3. Davidson K, Shojaee S. Managing Massive Hemoptysis.Chest. 2020;157:77-88.
4. Mondoni M, Carlucci P, Job S, Parazzini EM, Cipolla G, Pagani M, et al. Observational, multicentre study on the epidemiology of haemoptysis. Eur Respiratory J 2018;51:1701813.
5. Sengupta S. Post-operative pulmonary complications after thoracotomy. Indian journal of anaesthesia. 2015;59:618.
6. Diktas S, Dogan C, Comert SS, et al The relationship between the etiologic distribution and characteristics of hemoptysis in patients hospitalized due to hemoptysis/Hemoptizi nedeniyle hastaneye yatan olgularda etyolojik dagilim ve hemoptizi ozellikleri arasindaki iliski. J Kartal Training ResHospital 2011;22:70-5.
7. Engin A, Doğan Ö, Berk S, et al. Hemoptizide etyolojik faktörler. Cumhuriyet Med J 2010;32:48-53.
8. Sakr L, Dutau H. Massive hemoptysis: an update on the role of bronchoscopy in diagnosis and management. Respiration 2010;80:38-58.
9. Hsiao EI, Kirsch CM, Kagawa FT, et al. Utility of fiberoptic bronchoscopy before bronchial artery embolization for massive hemoptysis. Am J Roentgenol 2001;177:861-7.
10. Revel MP, Fournier LS, Hennebicque AS, et al. Can CT replace bronchoscopy in the detection of the site and cause of bleeding in patients with large or massive hemoptysis? Am J Roentgenol 2002;179:1217-24.