Case of a 21-Year-Old Man With Hemoptysis, Recurrent Pneumothorax, and Cavitary Lung Lesions.

Chest

International Healthcare Center, Department of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea. Electronic address:

Published: January 2021

AI Article Synopsis

  • A 21-year-old man was hospitalized for recurrent issues like bilateral pneumothorax and hemoptysis after a previous medical history that includes coil embolization for an intracerebral aneurysm and subsequent total colectomy due to colon infarction.
  • After the colectomy, he developed ongoing hemoptysis and multiple episodes of pneumothorax, requiring chest tubes, and had a notable history of easy bruising.
  • He was on Depakote and aspirin to manage seizures and prevent blood clots, and denied any use of illicit drugs; his family's medical history was not significant.

Article Abstract

A 21-year-old man was admitted to our hospital with recurrent bilateral pneumothorax and hemoptysis. Three years earlier, he underwent coil embolization due to a subarachnoid hemorrhage caused by an intracerebral aneurysm rupture. Two months after the coil embolization, he underwent an emergent total colectomy due to a massive infarction of the colon. One year after the colectomy, he started to have recurrent hemoptysis, and a few months later, multiple episodes of bilateral pneumothorax that required a chest tube placement began to occur. Notably, he had a history of easy bruising. He was taking Depakote and aspirin to prevent seizure and thromboembolic complications, respectively, both of which he began taking after the coil embolization. He denied the use of any illicit drugs. The histories of his parents and sister were not remarkable.

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Source
http://dx.doi.org/10.1016/j.chest.2020.08.2067DOI Listing

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