A Case of Pulmonary Arteriovenous Malformations Requiring Surgical Resection due to the Migration of Two Coils into A Single Lesion with Mycobacterium Avium Complex Infection after Coil Embolization.

IF 1 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Internal Medicine Pub Date : 2024-12-12 DOI:10.2169/internalmedicine.4227-24

Akinaga Iijima, Masayuki Nakayama, Toshimi Kawahata, Mizuho Saito, Tomohiro Kikuchi, Atsushi Kihara, Makoto Maemondo

引用次数: 0

Abstract

A 21-year-old male with hereditary hemorrhagic telangiectasia underwent coil embolization for three pulmonary arteriovenous malformations (right S⁶c, right S¹⁰a, and left S⁶b). Three years after coil embolization, coil migration was observed in the right S⁶c and S¹⁰a, and a cavitary lesion developed between the two coils. Four years after embolization, the two coil lesions were found to have merged within the cavity. Right lower lobectomy was performed for severe recurrent hemoptysis. A histological examination revealed a granuloma with caseous necrosis related to Mycobacterium avium complex (MAC) infection around the cavity. The patient did not exhibit hemoptysis or MAC recurrence after resection.

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来源期刊

Internal Medicine 医学-医学：内科

CiteScore

1.90

自引率

8.30%

发文量

审稿时长

2.2 months

期刊介绍： Internal Medicine is an open-access online only journal published monthly by the Japanese Society of Internal Medicine. Articles must be prepared in accordance with "The Uniform Requirements for Manuscripts Submitted to Biomedical Journals (see Annals of Internal Medicine 108: 258-265, 1988), must be contributed solely to the Internal Medicine, and become the property of the Japanese Society of Internal Medicine. Statements contained therein are the responsibility of the author(s). The Society reserves copyright and renewal on all published material and such material may not be reproduced in any form without the written permission of the Society.