Massive hemoptysis

Conlan, A. Alan; Hurwitz, S S; Krige, L; Nicolaou, N.; Pool, Robert

doi:10.1016/s0022-5223(19)38908-1

Cited by 132 publications

(6 citation statements)

References 13 publications

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“…As in our case, ~20% of cases of hemoptysis 9 , 10 , remain without an aetiological diagnosis even after bronchoscopy and chest CT, leading to the classification of the case as idiopathic or cryptogenic hemoptysis 5 , 6 , 9 .…”

Section: Discussionsupporting

confidence: 48%

Case report: Total obstruction of the left main bronchus by a blood clot leads to pneumonectomy in a pregnant woman

Ziani,

Chibani,

Slaihi

et al. 2023

Annals of Medicine &Amp; Surgery

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Introduction and importance: Airway obstruction resulting from blood clot formation is observed across various clinical scenarios and is often preceded by hemoptysis. This condition can significantly compromise respiratory function, potentially leading to life-threatening ventilatory distress. Case presentation: In this report, we present a case of acute airway obstruction associated with hemoptysis in an 18-week pregnant woman admitted to the emergency department for acute respiratory distress. Clinical and radiographic evidence strongly suggested the presence of an endobronchial blood clot causing focal airway obstruction. Diagnosis was confirmed through direct endoscopic evaluation. Clinical discussion: Initial attempts to remove the obstructing clot from the airway involved lavage, aspiration, and forceps extraction by using a bronchoscope. In cases in which these measures proved ineffective, other management strategies include rigid bronchoscopy, embolization, and surgical resection. Conclusion: Central airway obstruction is a critical condition caused by numerous factors such as tumors or blood clots. Treatment focuses on securing the airway, ensuring breathing, and using tools such as bronchoscopy for diagnosis and treatment. Surgery is considered a last resort when other methods are ineffective.

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Section: Discussionsupporting

confidence: 48%

Case report: Total obstruction of the left main bronchus by a blood clot leads to pneumonectomy in a pregnant woman

Ziani,

Chibani,

Slaihi

et al. 2023

Annals of Medicine &Amp; Surgery

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“…In patients who are unsuitable surgical candidates, who refuse surgical treatment, or for whom appropriate medical therapy will ultimately lead to a cure, control of the hemorrhage may be achieved by various other options. These include cold saline solution lavage via bronchoscopy, 7,8 endobronchial balloon tamponade with or without endobronchial instillation of epinephrine, 9,10 instillation of thrombin or fibrinogen-thrombin infusions endobronchially via fiberoptic bronchoscopy, 11 laser photocoagulation, 12 radiotherapy, 13 or bronchial artery embolization. 14,15 Selection of the modality of treatment will be determined by the underlying etiology for the hemoptysis and the available expertise at the center to which the patient presents.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Embolotherapy for Life-Threatening Hemoptysis

Wong

Szkup

Hopley

2002

Chest

110

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“…However, bronchial artery embolization was reported in the literature by Remy et al29 in 1973 with good results. Other maneuvers to control the hemoptysis are bronchoscopic cold saline lavage, endotracheal instillation of fibrinogen thrombin, and radiotherapy and laser photocoagulation30,31. In vitro trials have shown that actinomycosis is susceptible to many antibiotics.…”

Section: Discussionmentioning

confidence: 99%

Pericardial and pulmonary actinomycosis, simulating inflammatory myofibroblastic tumor: the role of surgery

et al. 2022

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Background: Pericardial and pulmonary actinomycosis is a rare disease that remains undiagnosed during life due to a lack of clinical manifestations and a low positive culture rate. Actinomycosis can involve any part of the body. Thoracic actinomycosis is the second most common site after the cervicofacial. Patients with pulmonary actinomycosis usually present with a history of chest pain, cough, fever, shortness of breath on exertion, and sometimes massive hemoptysis. Pericardial involvement has been reported in the medical literature. It is written in line with process case series criteria. Method: From 2008 to 2021, 8 patients, 6 men, and 2 women (mean age 59 y) underwent surgical resection for thoracic lesion initially diagnosed as myofibroblastic tumor on true cut biopsy, but the final histopathologic report revealed actinomycosis. We reviewed preoperative clinical manifestations. Computed tomographic (CT) findings, preoperative true-cut biopsy report, surgical indications, and outcomes. Results: Five patients (62.5%) had poor oral hygiene; 2 patients (25%) had sinusitis, and 1 patient had bronchiectasis (12.5%). Seven patients were symptomatic (87.5%), with hemoptysis, shortness of breath, and weakness. One patient, 12.5%, presented with chest wall mass, chest pain, and fever. The basis of the imaging study (CT thorax). Six patients (87.5%) had CT guided biopsy that revealed a myofibroblastic tumor. In 2 patients (25%), CT scans showed the mass was close to the heart, so a biopsy was not done. We panned a surgical procedure based on the history of hemoptysis and a true cut-biopsy report. Four patients (50%) had a lobectomy, 2 patients (25%) had pericardial resection with a wedge of lung tissues, and 1 patient had chest wall resection enblock with right upper lobectomy. Conclusion:In patients with radiographic findings of pulmonary neoplasm and initial true cut biopsy report showing myofibroblastic tumor, surgery is mandatory. The final histopathology report showed actinomycoses. If the preoperative histopathologic diagnosis is available, then surgery has no role. The ideal treatment is the administration of systemic penicillin therapy. All our patients postoperatively received systemic antimicrobial therapy; they fully recovered and resumed back to everyday life.

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Massive hemoptysis

Cited by 132 publications

References 13 publications

Case report: Total obstruction of the left main bronchus by a blood clot leads to pneumonectomy in a pregnant woman

Case report: Total obstruction of the left main bronchus by a blood clot leads to pneumonectomy in a pregnant woman

Percutaneous Embolotherapy for Life-Threatening Hemoptysis

Pericardial and pulmonary actinomycosis, simulating inflammatory myofibroblastic tumor: the role of surgery

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