• Sonuç bulunamadı

Timely bronchoscopic examination for a patient with hemoptysis

N/A
N/A
Protected

Academic year: 2021

Share "Timely bronchoscopic examination for a patient with hemoptysis"

Copied!
2
0
0

Yükleniyor.... (view fulltext now)

Tam metin

(1)

258

A 61-year-old man was referred to our hospital due to hemoptysis. The patient told us that the amount of it needed two pieces of towels to wipe it off. It began a few days ago and continued intermittently. The patient had no medical history of respiratory disease and did not have any anticoagulants. He smoked 30-pack-year. Ground glass opacity was observed in both lungs, but it seemed to be slightly left-sided predominance (Figure 1). By one-day hospitalized observation, we confirmed continuation of intermittent bloody sputum, but not massive hemoptysis. To clarify the bronchus that the bleeding was related to, we performed an examination by fiberoptic bronchoscopy and confirmed active bleeding from left upper lobe bronchus (Figure 2). As arterio-venous malformation was highly suspected, the patient was transferred to another hospital to receive an embolic therapy. But angiographyic examination showed afocal inflammatory change in left upper lobe was the responsibility lesion of the bleeding.

In some patients with hemoptysis and bloody sputum, fiberoptic bronchoscopy is useful to establish correct blooding site and diagnosis (1,2). In performing it for them, timing to perform of the examination is not easy

due to some reasons, especially in patients with severe hemoptysis, those with scarce bloody sputum passed over time, and those without scarce findings in imaging studies.

To clarify the bronchus that the bleeding is related to, on the other hand, to avoid further bleeding by the bronchoscopic examination for the patients with hemoptysis, we do suggest the necessity of consideration the following four conditions: [1] bronchoscopic examination within a week after disappearance of fresh bloody sputum, [2] bronchoscopic examination after the disappearance of hemoptysis, [3]

bronchoscopic examination taking imaging studies including CT scan in to consideration, [4] carrying out the observation as short time as possible to avoid unnecessary bleeding. To establish correct diagnosis without any severe complication, chest physicians should be performed bronchoscopy appropriately.

Timely bronchoscopic examination for a patient with hemoptysis

doi • 10.5578/tt.21053

Tuberk Toraks 2016;64(3):258-259

Geliş Tarihi/Received: 01.12.2015 • Kabul Ediliş Tarihi/Accepted: 16.01.2016

EDİTÖRE MEKTUP LETTER TO THE EDITOR

Hiroko WATANABE1 Kohta KATAYAMA1 Hiroaki SATOH1

1 Division of Respiratory, Mito Medical Center, Tsukuba University, Japan 1 Tsukuba Üniversitesi Mito Tıp Merkezi, Solunum Bölümü, Mito, Japonya

Dr. Hiroaki SATOH

University of Tsukuba, Division of Respiratory Medicine, Mito Medical Center, MITO - JAPAN

e-mail: hirosato@md.tsukuba.ac.jp

Yazışma Adresi (Address for Correspondence)

(2)

Tuberk Toraks 2016;64(3):258-259

Watanabe H, Katayama K, Satoh H.

259 RE FE REN CES

1. Yendamuri S. Massive airway hemorrhage. Thorac Surg Clin 2015;25:255-60.

2. Kaparianos A, Argyropoulou E, Sampsonas F, Zania A, Efremidis G, Tsiamita M, et al. Indications, results and complications of flexible fiberoptic bronchoscopy: a 5-year experience in a referral population in Greece. Eur Rev Med Pharmacol Sci 2008;12:355-63.

Figure 1. (A) Chest CT scan showed ground glass opacity was observed in both lungs, (B) but it seemed to be slightly left-sided predominance.

Figure 2. Bleeding (arrow) from left upper lobe bronchus was observed in bronchoscopic examination.

Referanslar

Benzer Belgeler

Bu nedenle, ülke içinde tüm illerin turizm sektörü için önemli olan turistik alanları belirlenmesi ve belirlenen önem derecesine göre turizme yön

Şiirle değilse bile, nesirle Millî Mücadele’nin destanım yazan Yahya Kemal'in bu konudaki 10.000 satırı aşan 88 ya­ zısı, ölümünden sonra, Yahya Kemal

In this article, we present a rare case of Behçet’s disease presenting with massive hemoptysis related to bronchovascular fistula which was successfully treated

Systemic, neurological, or psychogenic itching should be considered in the absence of lesions on the skin or in the presence of secondary lesions such as excoriations,

For example, in a patient whose primary goal is to read, residual visual function is determined using methods such as visual acuity, refractive error, and visual field,

With regard to the therapy for massive hemoptysis due to bronchiectasis, bronchial artery embolization is one of the option for them, but it is an aggressive conservative therapy

Flexible bronchoscopy showed bilateral multiple tumorous lesi- ons that were seen from main carina down to the both main bronchus (Figure 3,4).. The mucosa was mildly hyperemic

Olgudaki lsmk izi analizi, samga ait di§ kahbl o l ~iisiinde elde edilen di§lerin kesici kenar izleri ile magdurdan alman Ismk izinin superempozisyonla