1.A Case of Primary Racemose Hemangioma Discovered from Abnormal Chest X-ray Finding
Ken TOMOOKA ; Makoto NAKAO ; Seiji KAMEI ; Yuto SUZUKI ; Yusuke SAKAI ; Sousuke ARAKAWA ; Yusuke KAGAWA ; Ryota KUROKAWA ; Hidefumi SATO ; Yoshimi HORIKAWA ; Hideki MURAMATSU
Journal of the Japanese Association of Rural Medicine 2017;66(1):79-85
A 56-year-old woman was referred to our hospital because of an abnormal finding in the right pulmonary hilum on chest X-ray. Enhanced chest computed tomography showed hyperplastic bronchial arteries dilating and winding around the trachea and bronchi. A racemose hemangioma of the bronchial artery with multiple bronchial artery aneurysms (diameter <20mm) was seen displacing the trachea and both main bronchi. Bronchoscopy showed submucosal tumor-like lesions at the distal trachea and in both main bronchi, and a dusky-red elevated pulsatile lesion at the orifice of the left B3b＋c. We performed coil embolization of the bronchial artery aneurysm to prevent abrupt rupture of the bronchial aneurysm.
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