A Case of Hemoptysis due to Rupture of Bronchial Varices Requiring Multidisciplinary Treatment.

IF 1.4 Q2 MEDICINE, GENERAL & INTERNAL

Acute Medicine & Surgery Pub Date : 2026-04-23 eCollection Date: 2026-01-01 DOI:10.1002/ams2.70128

Hajime Suzuki, Suguru Hitomi, Kazuki Hasegawa, Jiro Kamiyama, Masashi Gokita, Katsunobu Teshigahara, Shigemasa Taguchi, Kazuya Kiyota

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Abstract

Background: This paper describes a rare case of hemoptysis caused by the rupture of a bronchial varix.

Case presentation: A 68-year-old man was admitted to the hospital due to recurrent episodes of hemoptysis. Bronchoscopy showed a cord-like lesion in the left main bronchus, and the findings of the subsequent endobronchial ultrasound and bronchial venography on the third hospital day led to a diagnosis of hemoptysis due to a bronchial varix rupture. Through multidisciplinary collaboration, hemostasis was achieved by performing a combination of treatments, including bronchial artery embolization, percutaneous transvenous bronchial venous embolization, and endoscopic variceal sclerotherapy.

Conclusion: Successful management of bronchial varix rupture requires early diagnosis and collaborative hemostatic procedures involving multiple medical specialties.

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支气管静脉曲张破裂致咯血1例，需多学科治疗。

背景：本文报告一例罕见的由支气管静脉曲张破裂引起的咯血。病例介绍：一名68岁男性因咯血反复发作入院。支气管镜检查显示左主支气管有索样病变，住院第三天的支气管超声和支气管静脉造影结果诊断为支气管静脉曲张破裂引起的咯血。通过多学科合作，通过支气管动脉栓塞、经皮经静脉支气管静脉栓塞和内镜下静脉曲张硬化治疗等联合治疗实现止血。结论：支气管静脉曲张破裂的成功治疗需要早期诊断和多专科联合止血。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acute Medicine & Surgery MEDICINE, GENERAL & INTERNAL-

自引率

12.50%

发文量

审稿时长

53 weeks