AI Article Synopsis
- A 40-year-old woman experienced severe coughing up blood and difficulty breathing after starting treatment for pulmonary tuberculosis two weeks prior.
- Medical imaging revealed a serious vascular issue called Rasmussen's aneurysm near her lung's bronchus that was nearly blocked.
- Following treatment to close off the aneurysm, her condition improved, and after completing a six-month course of tuberculosis medication, she was cured with no further bleeding and some lung scarring remaining.
Article Abstract
A woman in her 40s presented with massive haemoptysis and breathlessness for 1 day. She had been diagnosed with pulmonary tuberculosis based on sputum CBNAAT (Cartridge Based Nucleic Acid Amplification Test) and was on antitubercular treatment for previous 2 weeks. Her chest X-ray showed right middle lobe lateral segment dense consolidation with bilateral nodular infiltrates. CT pulmonary angiography (CTPA) revealed a well-defined homogenously enhancing vascular lesion of size 10×11×13 mm in the right hilar region communicating with the descending branch of right pulmonary artery, suggesting a Rasmussen's aneurysm. It was in close proximity to the segmental bronchus that was almost completely occluded, suggesting epituberculosis. Transvenous pulmonary artery glue embolisation successfully achieved complete ablation of the aneurysm with preserved arterial flow. She has later completed 6 months of antitubercular treatment and is cured with no recurrence of haemoptysis. Her lung infiltrates have resolved with some lung scarring.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10685935 | PMC |
| http://dx.doi.org/10.1136/bcr-2022-253372 | DOI Listing |
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