Hemoptysis during general anesthesia in a diabetic patient with healed tuberculosis: a case report.
10.4097/kjae.2017.70.1.86
- Author:
Mee Young CHUNG
1
;
Hyeon Do JEONG
;
Seul Gi KIM
;
Chang Jae KIM
Author Information
1. Department of Anesthesiology and Pain Medicine, St' Paul's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. ksw070591@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Diabetes mellitus;
Hemoptysis;
Tuberculosis;
Ventilation
- MeSH:
Adult;
Anesthesia, General*;
Arteries;
Bronchi;
Bronchial Arteries;
Causality;
Diabetes Mellitus;
Emergencies;
Hemoptysis*;
Hemorrhage;
Humans;
Lung;
Male;
Rupture;
Tuberculosis*;
Tuberculosis, Pulmonary;
Vascular Remodeling;
Ventilation;
Vitrectomy
- From:Korean Journal of Anesthesiology
2017;70(1):86-89
- CountryRepublic of Korea
- Language:English
-
Abstract:
Hemoptysis is a common complication of pulmonary tuberculosis. Most of the cases of hemoptysis originate from hypertrophied bronchial arteries. Also, diabetes induces pulmonary vascular abnormalities such as endothelial dysfunction, inflammatory infiltration and pulmonary vascular remodeling. A 27-year-old male, with diabetes and a history of tuberculosis, underwent the procedure of pars plana vitrectomy under general anesthesia. After an uneventful intra-operative period, he had hemoptysis prior to extubation. Emergency fiberoptic bronchscopy showed blood plugs and spotted fresh blood at the right upper lobar bronchus. After successful embolization of the bronchial artery, the patient made a recovery and was discharged without experiencing any complication. Predisposing factors of hemoptysis in this case are presumed to be tuberculosis and diabetes. The bleeding might had been caused by the rupture of a weakened artery within the cavity in the right upper lobe, through expansion of the lung during manual ventilation by positive pressure.
