Massive Pulmonary Hemorrhage from Bronchial Varix
Joint Authors
Agustin, Michael
Torres, Michael
Shay, Scott
Gonzalez, Jose
Liu, Pei
Lentz, Nancy
Shapiro, Anna
Dumrongmongcolgul, Nat
Jungtrakoolchai, Vasin
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-04-04
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Bronchial varix is a rare pulmonary disorder which may lead to life-threatening hemorrhage.
Diagnosis is difficult because of the subtle abnormalities on radiographic and bronchoscopic examination.
We present a case of massive hemoptysis from a bleeding bronchial varix.
In the absence of immediate complex endobronchial therapy in the island of Guam, this case was initially managed with nebulized and intravenous tranexamic acid.
This was followed by endobronchial blockade of the bleeding airway with endobronchial epinephrine instillation.
Selective bronchial artery embolization alleviated the acute-phase bleeding.
Prone positioning was initiated due to severe hypoxia after blood clots compromised the patency of bilateral bronchial airways.
Prone ventilation was employed for 17 hours for 2 consecutive days with intermittent bronchoscopic forceps extraction of airway blood clots while in the prone position.
These maneuvers resulted to improved lung ventilation and oxygenation.
The patient underwent bronchial sleeve resection surgery for definitive management.
American Psychological Association (APA)
Agustin, Michael& Shay, Scott& Gonzalez, Jose& Liu, Pei& Lentz, Nancy& Shapiro, Anna…[et al.]. 2020. Massive Pulmonary Hemorrhage from Bronchial Varix. Case Reports in Pulmonology،Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1151049
Modern Language Association (MLA)
Agustin, Michael…[et al.]. Massive Pulmonary Hemorrhage from Bronchial Varix. Case Reports in Pulmonology No. 2020 (2020), pp.1-4.
https://search.emarefa.net/detail/BIM-1151049
American Medical Association (AMA)
Agustin, Michael& Shay, Scott& Gonzalez, Jose& Liu, Pei& Lentz, Nancy& Shapiro, Anna…[et al.]. Massive Pulmonary Hemorrhage from Bronchial Varix. Case Reports in Pulmonology. 2020. Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1151049
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1151049