Magazine et Edition

Volume 27 (2021): Edition 1 (December 2021)

Volume 26 (2020): Edition 1 (June 2020)

Volume 25 (2019): Edition 1 (June 2019)

Volume 24 (2018): Edition 1 (June 2018)

Volume 23 (2017): Edition 1 (June 2017)

Volume 22 (2016): Edition 2 (December 2016)

Volume 22 (2016): Edition 1 (June 2016)

Volume 21 (2015): Edition 2 (December 2015)

Volume 20 (2014): Edition 2 (December 2014)

Volume 20 (2014): Edition 1 (June 2014)

Volume 19 (2013): Edition 2 (December 2013)

Volume 19 (2013): Edition 1 (May 2013)

Volume 18 (2012): Edition 2 (December 2012)

Volume 18 (2012): Edition 1 (July 2012)

Détails du magazine
Format
Magazine
eISSN
2353-0707
Première publication
19 Jul 2012
Période de publication
2 fois par an
Langues
Anglais

Chercher

Volume 27 (2021): Edition 1 (December 2021)

Détails du magazine
Format
Magazine
eISSN
2353-0707
Première publication
19 Jul 2012
Période de publication
2 fois par an
Langues
Anglais

Chercher

1 Articles
Accès libre

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

Publié en ligne: 21 Jan 2022
Pages: 1 - 4

Résumé

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.

Mots clés

  • Hemoptysis
  • pulmonary artery aneurysm
  • aneurysm rupture
  • autopsy
  • case report
1 Articles
Accès libre

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

Publié en ligne: 21 Jan 2022
Pages: 1 - 4

Résumé

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.

Mots clés

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

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