Rare case of haemoptysis

We report a case of a 39-year-old man who presented with coughing up blood for 5 days. On the day of admission, he coughed up about 300 mL of fresh blood. He mentioned that he has had cough for the past 10 years. On clinical examination, he was afebrile, tachypneic, tahycardic and normotensive. Rest...

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Bibliographic Details
Published in:BMJ case reports 2017-01, Vol.2017, p.bcr2016217794
Main Authors: Awouda, Elrasheid Ali, Elnori, Ahmed Anwar, Ahmed, AlaEldin Hassan
Format: Article
Language:English
Subjects:
Abdomen
Adult
Africa
Black
Bronchopulmonary Sequestration - complications
Bronchopulmonary Sequestration - diagnostic imaging
Bronchopulmonary Sequestration - surgery
Computed Tomography Angiography
Congenital diseases
Coronary vessels
Cough - etiology
Hemoptysis - etiology
Humans
Male
Medical imaging
Pain
Patients
Rare Disease
Surgeons
Surgery
Tomography, X-Ray Computed
Tuberculosis
Veins & arteries
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Summary:We report a case of a 39-year-old man who presented with coughing up blood for 5 days. On the day of admission, he coughed up about 300 mL of fresh blood. He mentioned that he has had cough for the past 10 years. On clinical examination, he was afebrile, tachypneic, tahycardic and normotensive. Rest of the physical examination was normal. His oxygen saturation breathing room air was 96%. His full blood count showed haemoglobin 9.3 g/dL. His chest radiograph was reported as normal. CT chest showed a vascular right paracardiac soft tissue density. On the basis of this, a diagnosis of pulmonary sequestration was considered. CT angiography of the soft tissue density identified multiple sources of systemic arterial blood. Two arteries were arising from the descending aorta and a third artery was coming from the right renal artery. Surgical removal of the sequestrated lobe was performed. The patient has an uneventful postoperative recovery and remained well at follow-up 2 months after surgery.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2016-217794