Hemoptysis in a 39-year-old smoker | Zendy

Inneke Willekens | Zendy; Bart Ilsen | Zendy; Michel De Maeseneer | Zendy; Frederik Vandenbroucke | Zendy; Johan De Mey | Zendy

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Hemoptysis in a 39-year-old smoker

Author(s) -

Inneke Willekens,

Bart Ilsen,

Michel De Maeseneer,

Frederik Vandenbroucke,

Johan De Mey

Publication year - 2013

Publication title -

journal of the belgian society of radiology

Language(s) - English

Resource type - Journals

ISSN - 1780-2393

DOI - 10.5334/jbr-btr.224

Subject(s) - medicine , continuing education , radiology , medical physics , interventional radiology , medical education

A 39-year old man, a smoker without significant medical history, presented with vague chest pain, cough, and hemoptysis. His symptoms had started 2 weeks earlier. Radiography showed an area of decreased lucency (ground glass appearance) in the right lower lobe. CT scan confirms the presence of a triangular area of inhomogeneous parenchymatous increased attenuation mainly of ground glass with inlying bronchocoeles and tree-in-bud appearance compatible with an intrapulmonary sequestration. The arterial supply is derived from the lower thoracic aorta. The venous drainage is to the left atrium. The hemoptysis is a result of a supratherapeutic International Normalized Ratio (INR) on Sintrom intake for atrial fibrillation (AF). Treatment of sequestration consisted of a thoracoscopic lobectomy.

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