Pedunculated capillary haemangioma of the bronchus

A rare case of pedunculated bronchial hemangioma

“…Because of the flattened shape and the limited size these lesions did not cause any significant obstruction. Overall eight cases have been reported in the literature with different morphology [6]: only in one previous case a pedunculated hemangioma obstructing the left lower lobe was reported [7]. The present case is characterised by a late onset presentation with non-specific symptoms masked by the underlying smoke-related chronic airway obstruction.…”

“…The unusual polipoid appearance added complexity to the problem of differential diagnosis [2,3,6]. Surgical excision of such tumors is associated with a favourable prognosis [7]. However, for a better planning of the surgical approach to endobronchial masses completely occluding the airway lumen it is important to evaluate, beside the exact location, the full size and the relationship with adjacent structures.…”

An unusual but important cause of wheezing

“…The first of the few cases described in the literature was reported in 1978 by HARDING et al [6], who presented a 67-year-old female whose left lower lobe bronchus was obstructed by the haemangioma. The lesion caused radiological signs (left lower lobe atelectasis) and it was removed at bronchoscopy.…”

Endobronchial Capillary Hemangioma: Case Report and Review of the Literature

“…Previous case reports in adults have described tracheobronchial capillary hemangiomas as smooth [4], pedunculated [5], or lobular [6] lesions. In the last 50 years the English literature has included 7 different patients with a singular capillary hemangioma discovered during bronchoscopy; all but 1 presented with hemoptysis.…”

“…In the last 50 years the English literature has included 7 different patients with a singular capillary hemangioma discovered during bronchoscopy; all but 1 presented with hemoptysis. Two patients presented with abnormal chest radiographs [5, 7] and only 1 correlated with the anatomic location of the endobronchial lesion. Although rare, capillary hemangioma of the tracheobronchial tree should be considered when observing distinct airway lesions in patients who present with hemoptysis.…”