Open AccessBronchial artery embolization for haemothorax and haemoptysis caused by primary lung cancer
Author(s) -
Yamamoto Shota,
Kamei Shunsuke,
Kondo Yusuke,
Hiraiwa Shinichiro,
Hasebe Terumitsu,
Sakamaki Fumio
Publication year - 2020
Publication title -
respirology case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.304
H-Index - 9
ISSN - 2051-3380
DOI - 10.1002/rcr2.529
Subject(s) - medicine , bronchial artery , intercostal arteries , bloody , radiology , pneumothorax , pleural effusion , lung cancer , embolization , lung , hemothorax , surgery , bronchoscopy
Primary lung cancer (PLC) presents with various symptoms. However, there have been no reports of PLC causing haemothorax and haemoptysis simultaneously. We present an unusual case of massive haemothorax and haemoptysis caused by a PLC, in which haemostasis was secured with interventional radiology. A 58‐year‐old woman was hospitalized for a right secondary pneumothorax associated with emphysema. Chest computed tomography showed a mass shadow at the right lower lobe and on the right parietal pleura. Three days after air drainage, about 2000 mL of bloody pleural effusion accompanied by massive haemoptysis was observed. Haemoglobin concentration decreased to 4.9 g/dL and the patient was treated with selective embolization of the bronchial artery and the intercostal arteries. A diagnosis of PLC was made based on pleural fluid cytology. The patient was transferred to the palliative care hospital three months later without recurrence of haemothorax and haemoptysis.