Biswas Debabani, Dey Atin, Chakraborty Mukul, Biswas Saurabh
Department of Respiratory Medicine, Calcutta National Medical College, Kolkata, India.
Lung India. 2010 Oct;27(4):247-9. doi: 10.4103/0970-2113.71965.
A 45-year-old male presented with massive hemoptysis, clubbing in all limbs, disproportionate hypoxia and persistent ill-defined shadow in left lower zone in chest radiograph since his childhood. The patient received empirical anti-tuberculosis treatment and the chest X-ray finding was misinterpreted as tuberculoma. Subsequently, CT pulmonary angiography proved it to be a case of a simple type solitary pulmonary arteriovenous malformation with a saccular aneurysm in left lower lobe.
一名45岁男性自幼出现大量咯血、四肢杵状指、不成比例的低氧血症，胸部X线片显示左肺下野持续存在边界不清的阴影。患者接受了经验性抗结核治疗，胸部X线检查结果被误诊为结核瘤。随后，CT肺血管造影证实这是一例左下叶单纯型孤立性肺动静脉畸形伴囊状动脉瘤。
