Bronchial Varices in a Patient with Behçet's diasese: A Case Report.
- Author:
Joon Cheol SONG
1
;
Bo Geun PARK
;
Chai Ho JEONG
;
Hye Seon KANG
;
Joong Hyun AHN
;
Ju Sang KIM
Author Information
- Publication Type:Case Report
- Keywords: Behçet's disease; Bronchoscopy; Superior vena cava syndrome
- MeSH: Aged; Bronchoscopy; Cyclophosphamide; Emergencies; Hemoptysis; Hemorrhage; Humans; Pneumonia; Superior Vena Cava Syndrome; Thrombectomy; Thrombosis; Tomography, X-Ray Computed; Transplants; Varicose Veins*
- From:Kosin Medical Journal 2017;32(1):99-104
- CountryRepublic of Korea
- Language:English
- Abstract: We report a case of a 65-year-old man with Behcet's disease who presented with massive hemoptysis caused by bronchial varices. A computed tomography (CT) scan and bronchoscopy were performed to identify the bleeding site. The CT scan revealed pneumonia and a combined hemorrhage in the right-middle and lower lobes. Massive bleeding was detected during the bronchoscopy and emergency embolization was attempted but angiographic findings were normal. An anteriojugulo-right femoral bypass operation was performed to relieve the tortuous and hypertrophied jugular venous obstruction. However, thrombectomy and thrombolysis followed because of graft thrombosis six days post-surgery. The patient was treated with steroid and high-dose cyclophosphamide therapy for his Behçet's disease, which caused the venous obstructions; the saccular bronchial varices in the right-middle and right lower lobes on bronchoscopy regressed slightly after four cycles of cyclophosphamide therapy
