Hemoptysis in pulmonary tuberculosis - contrast tomography unmasking Rasmussen’s aneurysm
Abstract
Abstract. Hemoptysis is a common symptom in respiratory clinical practice, but very rarely the images of Rasmussen’s aneurysm are demonstrated in a case of hemoptysis. In this report of a 53 year old man with massive hemoptysis, we are able to demonstrate a Rasmussen’s aneurysm by contrast enhanced computer tomography (CECT) of the thorax along with features of pulmonary tuberculosis.
Key words: Rasmussen’s aneurysm, massive hemoptysis, pulmonary tuberculosis, ‘tree-in-bud’ appearance, granuloma
Keywords
References
- Rasmussen V. On haemoptysis, especially when fatal, in its anatomical and clinical aspects. Edinburgh Med J 1868; 14: 385-401.
- Raviglione MC, O'Brien RJ. Tuberculosis. In: Fauci AS, Braunwald E, Kasper DL, Hauser SL, Longo DL, Jameson JL, Loscalzo LJ, editors. Harrison's Principles of Internal Medicine, 17th edn. New York, USA: McGraw-Hill 2008; 1: 1006-1020.
- Goodman PC, Wilson AG, Armstrong P, Murray JF. Pulmonary infection in adults. In: Grainger RG, Allison DJ, editors. Grainger and Allison's Diagnostic Radiology-A Text Book of Medical Imaging. London, UK: Churchill Livingstone 2001; 377-417.
- Auerbach O. Pathology and pathogenesis of pulmonary artery aneurysm in tuberculous cavity. Am Rev Tuberc 1939; 39: 99-115.
- Remy J, Remy-Jardin M, Voisin C. Endovascular management of bronchial bleeding. In: Butler J, editor. The bronchial circulation. New York, NY: Dekker 1992; 667-723.
- Khalil A, Parrot A, Nedelcu C, et al. Severe hemoptysis of pulmonary arterial origin: signs and role of multi detector row CT angiography. Chest 2008; 133: 212-219.
- Ramakantan R, Bandekar VG, Gandhi MS, Aulakh BG, Deshmukh HL. Massive hemoptysis due to pulmonary tuberculosis: control with bronchial artery embolization. Radiology 1996; 200: 691- 694.
- Eisenhuber E. The tree-in-bud sign. Radiology 2002; 222: 771-772.
Details
Primary Language
English
Subjects
-
Journal Section
-
Publication Date
January 22, 2013
Submission Date
January 22, 2013
Acceptance Date
-
Published in Issue
Year 2011 Volume: 16 Number: 3