Endobronchial valves- an iatrogenic cause of hemoptysis to be considered at autopsy.

IF 1.5 4区 医学 Q2 MEDICINE, LEGAL
Erin MacDonald, Neil E I Langlois, Roger W Byard
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引用次数: 0

Abstract

An 80-year-old man who presented with hemoptysis died from ischemic heart disease and emphysema with cor pulmonale. He had a past history of ischemic heart disease with previous myocardial infarction, chronic obstructive pulmonary disease with endobronchial valve insertion and squamous cell carcinoma of the lung with lobe resection. On the day of death he had coughed up approximately one tablespoon of blood. While causes of hemoptysis usually include entities such as bronchitis, pneumonia, bronchiectasis, tumors, adjacent aneurysms, inflammatory/infective processes or septic emboli, occasionally there may be an iatrogenic etiology. The present case demonstrates a rare cause of hemoptysis associated with medical treatment - endobronchial valve insertion with surrounding granulation tissue formation and resultant hemorrhage. Hemoptysis in decedents with COPD may, therefore, be due to treatment rather than to underlying inflammatory or neoplastic lesions.

支气管内瓣膜-尸检时应考虑的咯血的医源性原因。
一位80岁男性患者因咯血死于缺血性心脏病和肺气肿合并肺心病。既往有缺血性心脏病合并心肌梗死、慢性阻塞性肺疾病合并支气管内瓣膜置入术和肺鳞状细胞癌合并肺叶切除史。死的那天,他咳出了大约一汤匙的血。虽然咯血的病因通常包括支气管炎、肺炎、支气管扩张、肿瘤、邻近动脉瘤、炎症/感染过程或脓毒性栓塞等,但偶尔也可能是医源性病因。本病例显示了一种罕见的咯血与药物治疗相关的原因-支气管内瓣膜插入周围形成肉芽组织并导致出血。因此,慢性阻塞性肺病患者的咯血可能是由于治疗,而不是由于潜在的炎症或肿瘤病变。
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来源期刊
Forensic Science, Medicine and Pathology
Forensic Science, Medicine and Pathology MEDICINE, LEGAL-PATHOLOGY
CiteScore
3.90
自引率
5.60%
发文量
114
审稿时长
6-12 weeks
期刊介绍: Forensic Science, Medicine and Pathology encompasses all aspects of modern day forensics, equally applying to children or adults, either living or the deceased. This includes forensic science, medicine, nursing, and pathology, as well as toxicology, human identification, mass disasters/mass war graves, profiling, imaging, policing, wound assessment, sexual assault, anthropology, archeology, forensic search, entomology, botany, biology, veterinary pathology, and DNA. Forensic Science, Medicine, and Pathology presents a balance of forensic research and reviews from around the world to reflect modern advances through peer-reviewed papers, short communications, meeting proceedings and case reports.
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