Diagnosing Dieulafoy Disease in the Bronchus: A Case Series
Author Information
Author(s): Antoine Parrot, Antoine Martine, Khalil Antoine, Théodore Jonathan, Mangiapan Gilles, Bazelly Bernard, Fartoukh Muriel
Primary Institution: Hôpital Tenon, Assistance Publique – Hôpitaux de Paris and Université Pierre et Marie Curie, Paris, France
Hypothesis
What is the clinical presentation and pathological diagnosis approach for Dieulafoy disease of the bronchus in patients with massive hemoptysis?
Conclusion
Dieulafoy disease should be suspected in patients with massive and unexplained episodes of recurrent hemoptysis to avoid hazardous endoscopic biopsies.
Supporting Evidence
- The patients experienced massive hemoptysis unrelated to known lung disease.
- Bronchial contrast extravasation was observed in 3 patients.
- Pathological examination revealed a dysplasic superficial bronchial artery in all cases.
Takeaway
This study looked at 7 patients who had serious bleeding from their lungs. It found that a specific condition called Dieulafoy disease can cause this bleeding, and doctors should be careful when diagnosing it.
Methodology
A retrospective review of patients who underwent surgery for massive and unexplained recurrent hemoptysis over an 11-year period.
Limitations
The study is retrospective and conducted in a referral center, which may limit generalizability.
Participant Demographics
7 patients, mean age 54 years, 5 males, all heavy smokers.
Digital Object Identifier (DOI)
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