A Case of Endobronchial Mass-Like Rasmussen Aneurysm

Jeong Rok Lee, Su Hwa Lee, Sung Hoon Jung, So Hyang Song, Chi Hong Kim, Hwa Sik Moon, Jeong Sup Song, Sung Hak Park

Research output: Contribution to journalArticlepeer-review

Abstract

A 69 year-old female was admitted to the hospital due to intermittent hemoptysis for 1 month. Emergent bronchoscopy revealed mass-like lesion almost completely obstructing right intermediate bronchus with multiple hemorrhagic spots. Bronchial arterial angiography was performed but failed to find out actively bleeding vessel. Spiral computerized tomography of the chest showed contrast enhanced bulging of the posterior portion of right main bronchus into the lumen of right intermediate bronchus suggesting Rasmussen aneurysm. The AFB smear of bronchial washing fluid was positive. Pulmonary arterial angiography and embolization were not performed due to improvement of clinical course with medical conservative care. Here we report a case of endobronchial mass-like Rasmussen aneurysm grossly suspected by bronchoscopy and diagnosed by spiral CT, which successfully managed by medical conservative care with antituberculous agents.

Original languageEnglish
Pages (from-to)85-90
Number of pages6
JournalTuberculosis and Respiratory Diseases
Volume56
Issue number1
DOIs
StatePublished - Jan 2004

Keywords

  • Bronchoscopy
  • Hemoptysis
  • Rasmussen aneurysm

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