St George Hospital, Sydney, NSW, Australia.
Heart Lung Circ. 2013 Dec;22(12):1030-2. doi: 10.1016/j.hlc.2013.04.003. Epub 2013 May 7.
Bronchial haemangioma is an exceptionally rare cause of haemoptysis in the adult. There are currently less than 10 recorded cases in the literature. Airway haemangiomas are generally seen in infants with coexistent cutaneous haemangiomas. The incidence of bronchial haemangioma in adults remains unknown. This case reports the diagnosis and treatment of a bronchial haemangioma in a 56 year-old male presenting with a one-month history of haemoptysis. Bronchial haemangioma diagnosis was confirmed and excision performed by bronchoscopy without complication. Bronchial haemangioma should be a considered differential diagnosis in the presence of meaningful haemoptysis when an endoluminal lesion is visualised on computed tomography scan. This case also demonstrates that bronchial haemangiomas can be successfully removed via bronchoscopy with minimal risk and discomfort to the patient.
支气管血管瘤是成人咯血的极罕见原因。目前文献中记录的病例不足 10 例。气道血管瘤通常见于伴有皮肤血管瘤的婴儿。成人支气管血管瘤的发病率尚不清楚。本病例报告了 1 例 56 岁男性支气管血管瘤的诊断和治疗，该患者因咯血 1 个月就诊。支气管血管瘤的诊断通过支气管镜检查得到确认，并进行了切除，无并发症。当计算机断层扫描显示腔内病变时，支气管血管瘤应被视为有意义咯血的鉴别诊断。本病例还表明，支气管血管瘤可以通过支气管镜检查成功切除，对患者的风险和不适最小。
