Millan-Alanis Juan Manuel, Jimenez-Leos Martha Cecilia, Jaramillo-Amador Alma Nelly, Arredondo-Flores Magda, Náñez-Terreros Homero
Internal Medicine, Hospital Universitario Dr. Jose Eleuterio Gonzalez, Universidad Autonoma De Nuevo Leon, Monterrey, MEX.
Pulmonary and Critical Care Medicine, Hospital Universitario Dr. Jose Eleuterio Gonzalez, Universidad Autonoma De Nuevo Leon, Monterrey, MEX.
Cureus. 2024 Sep 7;16(9):e68898. doi: 10.7759/cureus.68898. eCollection 2024 Sep.
Hemoptysis has a broad differential diagnosis, with common causes including bronchiectasis, bronchitis, pulmonary tuberculosis, and lung neoplasms. While often benign, it can sometimes indicate more severe, life-threatening conditions. Herein we report the case of an 86-year-old woman who presented to the emergency department with a 30-day history of hemoptysis ultimately leading to hemodynamic instability. She was initially admitted to the emergency department for resuscitation and diagnostic workup. During the hospitalization, we identified a large, ruptured aneurysm of the descending and diaphragmatic aorta contained by a hematoma communicating the tracheobronchial tree. This case highlights the importance of considering a broad differential diagnosis in patients presenting with hemoptysis as it can signal severe underlying conditions such as a ruptured aortic aneurysm. Early recognition and appropriate management of these cases are crucial to improving patient outcomes.
咯血的鉴别诊断范围广泛，常见病因包括支气管扩张、支气管炎、肺结核和肺部肿瘤。虽然咯血通常为良性，但有时可能提示更严重的危及生命的情况。在此，我们报告一例86岁女性病例，该患者因咯血30天就诊于急诊科，最终导致血流动力学不稳定。她最初因复苏和诊断性检查被收入急诊科。住院期间，我们发现降主动脉和膈主动脉有一个巨大的破裂动脉瘤，周围有血肿与气管支气管树相通。该病例强调了对咯血患者进行广泛鉴别诊断的重要性，因为咯血可能预示着严重的潜在疾病，如主动脉瘤破裂。早期识别和恰当处理这些病例对于改善患者预后至关重要。
