AN INTERESTING CASE OF AORTOBRONCHIAL FISTULA PRESENTING AS FATAL HAEMOPTYSIS
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2018, Vol 5, Issue 6
Abstract
PRESENTATION OF CASE Haemoptysis is a relatively common presentation in medical practice and can be attributed to many causes. Common causes of massive haemoptysis include pulmonary parenchymal disease, vascular disorders, vasculitides, coagulopathy and bleeding diathesis and occasionally aortobronchial fistulas. 1 Occasionally, patients who have thoraco-abdominal aneurysms present with massive haemoptysis secondary to erosion or rupture into the bronchus or lung parenchyma. We report a case of elderly female who presented with sudden onset of massive Haemoptysis. Chest x-ray showed homogenous opacity in the left upper zone para-tracheal area and widening of superior mediastinum. Echocardiography showed dilated descending aorta and dissection at the level of left common carotid area with thrombus. CECT thorax suggested aneurysm of arch of aorta complicated by rupture and pulmonary haemorrhage into the left upper lobe of the lung. This was confirmed by CT Aortogram. Patient was later referred to CTVS surgeon for further management. Haemoptysis is a relatively common presentation in medical practice and can be attributed to many causes. Common causes of massive haemoptysis include pulmonary parenchymal disease, vascular disorders, vasculitides, coagulopathy and bleeding diathesis and occasionally aortobronchial fistulas.1 Occasionally, patients who have thoracoabdominal aneurysms present with massive haemoptysis secondary to erosion or rupture into the bronchus or lung parenchyma.
Authors and Affiliations
Gadwalkar R. Srikant, Ramamurthy P, Umamaheswari S, Neelesh Kumar S Shah, Arun Kumar B Mahamani
Keywords
Related Articles
- EP ID EP454157
- DOI 10.18410/jebmh/2018/113
- Views 78
- Downloads 0
COMPARATIVE STUDY OF COMPLICATIONS IN ENDOSCOPIC SEPTOPLASTY VERSUS CONVENTIONAL SEPTOPLASTY
BACKGROUND The objectives of the study are- 1) To study the gender distribution of Deviated Nasal Septum (DNS). 2) To study the incidence of DNS in different age groups. 3) To compare the complications of septoplasty in...
A STUDY ON SERUM FIBRINOGEN AS AN INDEPENDENT PREDICTOR OF MAJOR ADVERSE CARDIAC EVENTS IN KNOWN DIABETIC CORONARY ARTERY DISEASE PATIENTS
BACKGROUND Diabetes mellitus is one of the leading cause of morbidity and mortality worldwide. It is an important risk factor in the pathogenesis of Acute Coronary Syndrome. Fibrinogen, being an acute phase reactant is a...
CLINICAL ANALYSIS OF AMOEBIC LIVER ABSCESS
BACKGROUND Hepatic Amoebiasis is the infection of the hepatic tissue by the trophozoite form of Entamoeba histolytica from the intestine. Hepatic amoebiasis or liver abscess is commonest complication of amoebiasis. The a...
STUDY OF CLINICAL OUTCOMES OF SUBFASCIAL PERFORATOR LIGATION SURGERY IN PERFORATOR INCOMPETENCE
BACKGROUND Chronic venous insufficiency presents with a spectrum of clinical features ranging from pain or heaviness of affected limbs to non-healing ulcers over the lower limbs and usually require some form of surgical...
COMPARATIVE STUDY OF DEXMEDETOMIDINE AND MAGNESIUM SULPHATE AS AN ADJUVANT TO BUPIVACAINE IN SPINAL ANESTHESIA
spinal anaesthesia is a widely used simple anaesthethetic technique providing adequate analgesia and muscle relaxation. Search for an adjuvant providing satisfactory intra and post-operative analgesia is still continuing...