类癌肿瘤经支气管镜检查后发生大出血。

Massive hemorrhage after inspection bronchoscopy for carcinoid tumor.

作者信息

Ayache Mirna, Donatelli Christopher, Roncin Kara, AnsariGilani Kianoush, Yang Michael, Faress Jihane, Teba Catalina

机构信息

Division of Pulmonary, Critical Care and Sleep Medicine, University Hospitals Cleveland Medical Center, USA.

Division of Pulmonary, Critical Care and Sleep Medicine, Louis Stokes Veterans Affair Medical Center, USA.

出版信息

Respir Med Case Rep. 2018 May 3;24:125-128. doi: 10.1016/j.rmcr.2018.05.002. eCollection 2018.

DOI:10.1016/j.rmcr.2018.05.002

PMID:29977779

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6010637/

Abstract

Carcinoid tumor is a neuroendocrine tumor that can arise in the bronchial tree and can be hypervascular. Here we describe a case of bronchial carcinoid tumor in a 34-year-old previously healthy male who presented with hemoptysis and right lung mass. Inspection bronchoscopy revealed bronchus intermedius endobronchial lesion and was complicated by urgent intubation and placement of endobronchial blocker for massive hemorrhage. Subsequent angiography with embolization of the bronchial artery supplying the mass resulted in control of bleeding. While massive hemorrhage has been described with biopsy of bronchial carcinoid tumor, this case suggests that careful planning for inspection bronchoscopy is needed when carcinoid tumor is suspected.

摘要

类癌肿瘤是一种神经内分泌肿瘤，可发生于支气管树，且可能血运丰富。在此，我们描述一例34岁既往健康男性的支气管类癌肿瘤病例，该患者表现为咯血和右肺肿块。支气管镜检查发现中间支气管内病变，并因大量出血而并发紧急插管和放置支气管内封堵器。随后对供应肿块的支气管动脉进行血管造影并栓塞，从而控制了出血。虽然支气管类癌肿瘤活检时曾有大出血的报道，但该病例提示，怀疑类癌肿瘤时，需要对支气管镜检查进行仔细规划。