Journal of Yeungnam Medical Science

Case reports

Effective strategy in the treatment of aortobronchial fistula with recurrent hemoptysis: Shin-Ah Son, Deok Heon Lee, Gun-Jik Kim; Yeungnam Univ J Med. 2020;37(2):141-146. Published online February 25, 2020; DOI: https://doi.org/10.12701/yujm.2019.00444

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Aortobronchial fistula (ABF) involves the formation of an abnormal connection between the thoracic aorta and the central airways or the pulmonary parenchyma and is associated with an increased risk of mortality. An ABF typically manifests clinically with symptoms of hemoptysis, and currently, there is a lack of defined guidelines for its treatment. Here, we report the cases of two patients who suffered from recurrent hemoptysis due to ABF with pseudoaneurysm. We propose that removal of the aorta with concomitant lung resection and coverage of the aorta using the pericardial membrane is a definite treatment to lower recurrence of ABF and persistent infection.

Citations

Citations to this article as recorded by

Descending Thoracic Aorta Replacement in the Setting of Coexisting Aortobronchial and Aortoesophageal Fistula Formation After Open Thoracic Aortic Graft Placement and Subsequent Endovascular Aortic Repair
Rachel S. Dada, Jahnavi Kakuturu, Chris Cook, Alper Toker, Matthew Ellison
Journal of Cardiothoracic and Vascular Anesthesia.2024; 38(2): 499. CrossRef
Aortobronchopulmonary Fistula—An Unusual Cause of Hemoptysis
Laura Castellanos López, Elisa Martínez Besteiro, Adrián Martínez Vergara
Archivos de Bronconeumología.2023; 59(8): 510. CrossRef
Hybrid Management of an Aortobronchial Fistula after Patch Aortoplasty for Aortic Coarctation in a Patient with SARS-CoV-2 Pneumonia: Case Report and Review of the Literature
Grigore Tinica, Andrei Tarus, Alberto Bacusca, Raluca Ozana Chistol, Alexandra Cristina Rusu, Mihaela Tomaziu Todosia, Cristina Furnica
Medicina.2022; 58(10): 1385. CrossRef

Recurrent hemoptysis in a 26-year-old woman with a ground-glass opacity lesion of the lung: Jong Ha Kim, Sin-Youl Park; Yeungnam Univ J Med. 2020;37(1):59-62. Published online September 4, 2019; DOI: https://doi.org/10.12701/yujm.2019.00304

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Abstract PDF

Hemoptysis is a major reason for emergency department (ED) visits. Catamenial hemoptysis (CH), a rare condition of thoracic endometriosis, can cause recurrent hemoptysis but is difficult to diagnose in the ED due to the scarcity of cases and nonspecific clinical findings. We report a case of a 26-year-old woman who presented to the ED with recurrent hemoptysis since 2 years without a definite cause. Her vital signs and blood test findings were unremarkable. Chest computed tomography (CT) did not show any specific lesions other than a non-specific ground-glass opacity pattern in her right lung. She was on day 4 of her menstrual cycle and her hemoptysis frequently occurred during menstruation. Although there was no histological confirmation, based on her history of hemoptysis during menstruation and no other cause of the hemoptysis, the patient was tentatively diagnosed with CH and was administered gonadotropin-releasing hormone. She had no recurrence of hemoptysis for 3 months. While CH is difficult to diagnose in the ED, the patient’s recurrent hemoptysis related to menstruation was a clue to the presence of CH. Therefore, physicians should determine the relationship between hemoptysis and menstruation for women of childbearing age presenting with repeated hemoptysis without a definite cause.

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Thoracic Endometriosis: A Review Comparing 480 Patients Based on Catamenial and Noncatamenial Symptoms
Nura Fitnat Topbas Selcuki, Salih Yilmaz, Cihan Kaya, Taner Usta, Ahmet Kale, Engin Oral
Journal of Minimally Invasive Gynecology.2022; 29(1): 41. CrossRef
Characteristics and Outcomes of a Sample of Patients With COVID-19 Identified Through Social Media in Wuhan, China: Observational Study
Dong Liu, Yuyan Wang, Juan Wang, Jue Liu, Yongjie Yue, Wenjun Liu, Fuhai Zhang, Ziping Wang
Journal of Medical Internet Research.2020; 22(8): e20108. CrossRef
Cyclical Hemoptysis and Pelvic Pain in a Young Female: A Sign of Thoracic Endometriosis Syndrome
Areeg Bala, Raghda A Salim, Smit Deliwala, Michele Obeid, Ghassan Bachuwa
Cureus.2020;[Epub] CrossRef

Community-acquired Achromobacter xylosoxidans infection presenting as a cavitary lung disease in an immunocompetent patient: Chan Hee Hwang, Woo Jin Kim, Hye Young Jwa, Sung Heon Song; Yeungnam Univ J Med. 2020;37(1):54-58. Published online August 12, 2019; DOI: https://doi.org/10.12701/yujm.2019.00276

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Abstract PDF

Achromobacter xylosoxidans is a gram-negative bacterium that can oxidize xylose. It is commonly found in contaminated soil and water but does not normally infect immunocompetent humans. We report a case of a cavitary lung lesion associated with community-acquired A. xylosoxidans infection, which mimicked pulmonary tuberculosis or lung cancer in an immunocompetent man. The patient was hospitalized due to hemoptysis, and chest computed tomography (CT) revealed a cavitary lesion in the superior segment of the left lower lobe. We performed bronchoscopy and bronchial washing, and subsequent bacterial cultures excluded pulmonary tuberculosis and identified A. xylosoxidans. We performed antibiotic sensitivity testing and treated the patient with a 6-week course of amoxicillin/clavulanate. After 2 months, follow-up chest CT revealed complete resolution of the cavitary lesion.

Citations

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Achromobacter species (sp.) outbreak caused by hospital equipment containing contaminated water: risk factors for infection
J. Tian, T. Zhao, R. Tu, B. Zhang, Y. Huang, Z. Shen, G. Du, Y. Wang
Journal of Hospital Infection.2024; 146: 141. CrossRef
Full characterization of plasmids from Achromobacter ruhlandii isolates recovered from a single patient with cystic fibrosis (CF)
Carla Steffanowski, Mariana Papalia, Andrés Iriarte, Mauricio Langleib, Laura Galanternik, Gabriel Gutkind, Vaughn Cooper, María Soledad Ramírez, Marcela Radice
Revista Argentina de Microbiología.2022; 54(1): 3. CrossRef
Nosocomial Achromobacter xylosoxidans Infection Presenting as a Cavitary Lung Lesion in a Lung Cancer Patient
Vinoja Sebanayagam, Paul Nguyen, Mo'ath Nassar, Ayman Soubani
Cureus.2020;[Epub] CrossRef

Case Report

A Case of Unilateral Absence of Left Pulmonary Artery Presenting Hemoptysis.: Hye Jin Yoon, Tae Mook No, Seon Woong Kim, Dong Hi Park, In Seek Kim, Yeon Jae Kim, Byung Ki Lee, Ji Young Park, Jin Hong Chung; Yeungnam Univ J Med. 2003;20(1):71-78. Published online June 30, 2003; DOI: https://doi.org/10.12701/yujm.2003.20.1.71

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Abstract PDF: Unilateral absence of a pulmonary artery (UAPA) is a rare congenital anomaly that is frequently associated with other cardiovascular anomalies first reported by Fraentzel in 1968. Most patients who have no associated cardiac anomalies have only minor or absent symptoms. We experienced a case of isolated UAPA in a young female presenting hemoptysis. The chest radiograph showed a small left lung volume and high resolutional CT of chest showed multiple subpleural nodules and centrilobular nodules in parenchyma. The video-assisted thoracoscopic biopsy revealed diffuse dilated vessels in visceral pleura. The pulmonary angiogram confirmed the absence of the left main pulmonary artery.

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