Li Wei, Xin Tong, Hu Yuxin, Gao Peng, Chen Mo, Zhang Jie
Department of Respiratory and Critical Care Medicine, the Second Hospital of Jilin University, Changchun, Jilin, China.
Medicine (Baltimore). 2018 Jun;97(25):e11203. doi: 10.1097/MD.0000000000011203.
Pulmonary hemangioma is a rare thoracic condition that can lead to hemoptysis. Here we report a case that presented with lumen dilatation suggestive of bronchiectasis on high-resolution computed tomography (CT) and was misdiagnosed as bronchiectasis for more than 10 years.
A 41-year-old female patient was admitted to the Department of Respiratory Medicine due to hemoptysis.
The patient was misdiagnosed as having bronchiectasis for more than 10 years. Enhanced chest CT was not performed until treatment of recurrent hemoptysis with antibiotics and hemostatic therapy was no longer effective. With lumen dilation and the "signet ring" sign as the main findings on CT, pulmonary hemangiomas are easily misdiagnosed.
A left lower lobe lobectomy was performed, and the postoperative pathology revealed a hemangioma of the left lower lobe of the lung without bronchiectasis.
After treatment, the patient no longer had hemoptysis.
Therefore, in the clinical diagnosis and treatment of patients presenting with hemoptysis, enhanced CT/CT angiography (CTA) is necessary for differential diagnosis.
肺血管瘤是一种罕见的胸部疾病，可导致咯血。在此，我们报告一例在高分辨率计算机断层扫描（CT）上表现为管腔扩张提示支气管扩张，并被误诊为支气管扩张超过10年的病例。
一名41岁女性患者因咯血入住呼吸内科。
该患者被误诊为支气管扩张超过10年。直到使用抗生素和止血治疗反复咯血无效后才进行增强胸部CT检查。由于CT上以管腔扩张和“印戒”征为主要表现，肺血管瘤很容易被误诊。
行左下叶肺叶切除术，术后病理显示左下叶肺血管瘤，无支气管扩张。
治疗后，患者不再咯血。
因此，在咯血患者的临床诊断和治疗中，增强CT/CT血管造影（CTA）对于鉴别诊断是必要的。
