Bronchial Varices in a Patient with Behçet's diasese: A Case Report / 고신대학교의과대학학술지
Kosin Medical Journal
;
: 99-104, 2017.
Article
in English
| WPRIM
| ID: wpr-149277
ABSTRACT
We report a case of a 65-year-old man with Behcet's disease who presented with massive hemoptysis caused by bronchial varices. A computed tomography (CT) scan and bronchoscopy were performed to identify the bleeding site. The CT scan revealed pneumonia and a combined hemorrhage in the right-middle and lower lobes. Massive bleeding was detected during the bronchoscopy and emergency embolization was attempted but angiographic findings were normal. An anteriojugulo-right femoral bypass operation was performed to relieve the tortuous and hypertrophied jugular venous obstruction. However, thrombectomy and thrombolysis followed because of graft thrombosis six days post-surgery. The patient was treated with steroid and high-dose cyclophosphamide therapy for his Behçet's disease, which caused the venous obstructions; the saccular bronchial varices in the right-middle and right lower lobes on bronchoscopy regressed slightly after four cycles of cyclophosphamide therapy
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pneumonia
/
Thrombosis
/
Varicose Veins
/
Superior Vena Cava Syndrome
/
Bronchoscopy
/
Tomography, X-Ray Computed
/
Thrombectomy
/
Transplants
/
Cyclophosphamide
/
Emergencies
Type of study:
Prognostic study
Limits:
Aged
/
Humans
Language:
English
Journal:
Kosin Medical Journal
Year:
2017
Type:
Article
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