一例咯血病例揭示了意想不到的病因——肺动静脉畸形。

A case of hemoptysis unveiling the unlikely culprit - pulmonary arteriovenous malformation.

作者信息

Thapa Paras, Bhattarai Madhur, Sharma Paudel Basanta, Kunwar Pratiksha, Chataut Dinesh, Bhandari Shailaj, Bhandari Sagar, Paudel Pratiksha, Sharma Prakash

机构信息

Department of Radiology, Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Nepal.

Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal.

出版信息

Radiol Case Rep. 2023 Sep 2;18(11):4026-4031. doi: 10.1016/j.radcr.2023.08.057. eCollection 2023 Nov.

DOI:10.1016/j.radcr.2023.08.057

PMID:37680652

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10480646/

Abstract

Pulmonary arteriovenous malformation (PAVM) is a rare vascular anomaly characterized by abnormal communication between the pulmonary artery and vein. It is a rare cause of hemoptysis. Computed tomographic angiography (CTA) has become the preferred and dependable diagnostic approach for identifying PAVM. PAVM embolization is the primary recommended treatment for this condition. We present a case of a 43-year-old male with a complex PAVM in the left lower lobe presenting with hemoptysis treated with an endovascular approach. Following the procedure, the patient's symptoms resolved.

摘要

肺动静脉畸形（PAVM）是一种罕见的血管异常，其特征是肺动脉和静脉之间存在异常交通。它是咯血的罕见原因。计算机断层血管造影（CTA）已成为识别PAVM的首选且可靠的诊断方法。PAVM栓塞是针对这种情况的主要推荐治疗方法。我们报告一例43岁男性，左下叶患有复杂的PAVM并伴有咯血，采用血管内治疗方法进行治疗。手术后，患者症状缓解。