Zeitschriften und Ausgaben

Volumen 28 (2022): Heft 1 (November 2022)

Volumen 27 (2021): Heft 1 (December 2021)

Volumen 26 (2020): Heft 1 (June 2020)

Volumen 25 (2019): Heft 1 (June 2019)

Volumen 24 (2018): Heft 1 (June 2018)

Volumen 23 (2017): Heft 1 (June 2017)

Volumen 22 (2016): Heft 2 (December 2016)

Volumen 22 (2016): Heft 1 (June 2016)

Volumen 21 (2015): Heft 2 (December 2015)

Volumen 20 (2014): Heft 2 (December 2014)

Volumen 20 (2014): Heft 1 (June 2014)

Volumen 19 (2013): Heft 2 (December 2013)

Volumen 19 (2013): Heft 1 (May 2013)

Volumen 18 (2012): Heft 2 (December 2012)

Volumen 18 (2012): Heft 1 (July 2012)

Zeitschriftendaten
Format
Zeitschrift
eISSN
2353-0707
Erstveröffentlichung
19 Jul 2012
Erscheinungsweise
2 Hefte pro Jahr
Sprachen
Englisch

Suche

Volumen 27 (2021): Heft 1 (December 2021)

Zeitschriftendaten
Format
Zeitschrift
eISSN
2353-0707
Erstveröffentlichung
19 Jul 2012
Erscheinungsweise
2 Hefte pro Jahr
Sprachen
Englisch

Suche

1 Artikel
Uneingeschränkter Zugang

Misdiagnosis of pulmonary artery aneurysm with eroding thrombus into the airways. A fatal case of suffocation

Online veröffentlicht: 21 Jan 2022
Seitenbereich: 1 - 4

Zusammenfassung

Abstract

We present a fatal case of hemoptysis following a thrombus-eroding pulmonary artery aneurysm into the left upper bronchus of a 79-year-old male with a history of multiple hospital contacts and examinations due to cough, hemoptysis, and reflux symptoms.

A postmortem computed tomography (CT) scan revealed a hyperdense, condensed area in the left lung in relation to the lung hilus. At autopsy, the forensic specialist discovered a large, organized thrombus in a pulmonary artery aneurysm. The thrombus was adherent to the pulmonary artery aneurysm wall with an underlying defect directly communicating to the left upper bronchus. The cause of death was asphyxia due to blood in the airways (i.e., suffocation).

The combination of pulmonary artery hypertension, previous pulmonary embolism, and hemoptysis should lead to a particularly thorough inspection of the lungs with a focus on the pulmonary circulation. This case report emphasizes the importance of early detection of patients at risk of pulmonary artery rupture and attentiveness when performing biopsies during bronchoscopy to prevent communication between the artery and the airway. The risk of rupturing an aneurysm should be taken into account when performing biopsies on excrescence intruding into the bronchus in patients with medical histories of pulmonary hypertension, cough, and sporadic hemoptysis.

Schlüsselwörter

  • Hemoptysis
  • pulmonary artery aneurysm
  • aneurysm rupture
  • autopsy
  • case report
1 Artikel
Uneingeschränkter Zugang

Misdiagnosis of pulmonary artery aneurysm with eroding thrombus into the airways. A fatal case of suffocation

Online veröffentlicht: 21 Jan 2022
Seitenbereich: 1 - 4

Zusammenfassung

Abstract

We present a fatal case of hemoptysis following a thrombus-eroding pulmonary artery aneurysm into the left upper bronchus of a 79-year-old male with a history of multiple hospital contacts and examinations due to cough, hemoptysis, and reflux symptoms.

A postmortem computed tomography (CT) scan revealed a hyperdense, condensed area in the left lung in relation to the lung hilus. At autopsy, the forensic specialist discovered a large, organized thrombus in a pulmonary artery aneurysm. The thrombus was adherent to the pulmonary artery aneurysm wall with an underlying defect directly communicating to the left upper bronchus. The cause of death was asphyxia due to blood in the airways (i.e., suffocation).

The combination of pulmonary artery hypertension, previous pulmonary embolism, and hemoptysis should lead to a particularly thorough inspection of the lungs with a focus on the pulmonary circulation. This case report emphasizes the importance of early detection of patients at risk of pulmonary artery rupture and attentiveness when performing biopsies during bronchoscopy to prevent communication between the artery and the airway. The risk of rupturing an aneurysm should be taken into account when performing biopsies on excrescence intruding into the bronchus in patients with medical histories of pulmonary hypertension, cough, and sporadic hemoptysis.

Schlüsselwörter

  • Hemoptysis
  • pulmonary artery aneurysm
  • aneurysm rupture
  • autopsy
  • case report

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