Pulmonary arteriovenous fistula presenting as spontaneous haemothorax.
نویسندگان
چکیده
We record a case of pulmonary arteriovenous fistula presenting in a dramatic and unusual way. These lesions are generally diagnosed clinically by consideration of their associated features. In this case these were all absent, and the patient presented with a spontaneous haemothorax as an isolated finding. When blood is found on aspiration of the pleural cavity it generally represents bloodstained effusion (trauma excluded), and by far the commonest cause is bronchogenic carcinoma. Less frequently, however, aspiration of blood may represent spontaneous intrapleural bleeding without effusion (spontaneous haemothorax), and a rare cause of this situation is pulmonary arteriovenous fistula. We record this case to demonstrate that innocent pulmonary arteriovenous fistulae can masquerade as carcinoma.
منابع مشابه
Spontaneous haemothorax in Osler-Weber-Reftdu disease
Hereditary haemorrhagic telangiectasia (OslerWeber-Rendu disease) is an uncommon disease and, in over 98% of cases, the patients present with recurrent episodes of epistaxis (Harrison, 1964). It has been estimated that 15% of patients develop a pulmonary arterio-venous fistula during their lives (Hodgson et al., 1959). The patient with a pulmonary arterio-venous fistula may suffer from various ...
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عنوان ژورنال:
- Thorax
دوره 30 3 شماره
صفحات -
تاریخ انتشار 1975