Pulmonary arteriovenous fistula presenting as spontaneous haemothorax.

نویسندگان

  • B S Spear
  • L Sully
  • T Lewis
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.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

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 ...

متن کامل

Fatal right spontaneous haemothorax in Von Recklinghausen's disease.

Spontaneous massive haemothorax is uncommon and usually occurs as a result of pulmonary infarction, arteriovenous fistula, neoplasm, ruptured aortic aneurysm, rupture of pleural adhesions or pleural endometriosis. Massive haemothorax in Von Recklinghausen's disease occurs rarely but with potentially fatal results in spite of surgery. We present a case of a spontaneous massive exsanguinating hae...

متن کامل

Spontaneous massive haemothorax in von Recklinghausen's disease.

Spontaneous massive intrathoracic bleeding is infrequent and usually secondary to pulmonary infarction, arteriovenous fistula, neoplasm, ruptured aortic aneurysm, rupture of pleural adhesions, and, rarely, endometriosis of the pleura.1 We wish to document another cause of spontaneous massive haemothorax in a patient with disseminated neurofibromatosis (von Recklinghausen's disease). Bleedingwas...

متن کامل

Life-threatening haemothorax: a rare presentation of pulmonary arteriovenous malformation.

Arteriovenous malformations of the lung are rare pulmonary vascular disorders which can suddenly lead to life threatening complications. Haemothorax due to rupture of a pulmonary arteriovenous malformation (PAVM) is very rare. We report here a case of a 39 year-old lady who presented with an acute onset of shortness of breath due to right-sided massive haemothorax and was subsequently detected ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:
  • Thorax

دوره 30 3  شماره 

صفحات  -

تاریخ انتشار 1975