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Solitary Peripheral Pulmonary Artery Aneurysm Presenting as an Endobronchial Tumor: A Case Report

以支氣管內腫瘤表現的孤立性周邊肺動脈瘤:病例報告

摘要


肺動脈瘤很少見,咳血為一常見的臨床表現。目前的文獻中,僅有少數的病例報告描述肺動脈瘤在支氣管鏡下的所見。我們報告一位18歲患肺動脈瘤的男性,臨床表現為咳血以及位於左下肺支氣管內腫瘤。病人接受肺動脈血管攝影確診後,成功地接受血管內線圈栓塞術治療。此病例凸顯須將肺動脈瘤列入支氣管內腫瘤的鑑別診斷之重要性。另外,在進行侵入性檢查前,支氣管內超音波能提供更多相關的資訊。當懷疑肺動脈瘤時,臨床醫師應該避免施行切片檢查以避免致命性的出血。

並列摘要


Pulmonary artery aneurysms (PAAs) are rare. Hemoptysis is a common symptom of PAAs, but there are only a few case reports in the literature describing the bronchoscopic findings of PAAs. We report the case of an 18-year-old male with a solitary peripheral PAA, who presented with hemoptysis and an endobronchial tumor at the proximal left posterior basal segmental bronchus. Subsequent pulmonary artery angiography confirmed the diagnosis, and the patient was successfully treated with endovascular coil embolization. This case highlights the importance of including PAAs in the list of differential diagnoses of endobronchial tumors. Endobronchial ultrasound can provide more clues before invasive procedures are initiated. A biopsy should be avoided to prevent fatal hemorrhage.

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