11/30. Massive haemorrhage from the vallecula: a diagnostic difficulty. Case report.A case is presented of massive bleeding from a vessel in the vallecula. This was confused with haemoptysis and haematemesis. The bleeding may have resulted from trauma to the vessel during intubation for emergency surgery. 25 units of blood were transfused before the site of the bleeding was identified and controlled by diathermy coagulation.- - - - - - - - - - ranking = 1keywords = haemorrhage (Clic here for more details about this article) |
12/30. Recombinant factor viia treatment for life-threatening haemoptysis.Diffuse alveolar haemorrhage is a severe clinical disorder that may be life-threatening. The early diagnosis of diffuse alveolar haemorrhage and prompt intervention is crucial. Recombinant factor viia has been used extensively for the treatment of haemophilia A and B patients. More recently, recombinant factor VIIa has been used successfully for the treatment of bleeding in patients without pre-existing coagulopathy. We describe the successful use of recombinant factor viia in a patient with diffuse alveolar haemorrhage secondary to pulmonary-renal syndrome.- - - - - - - - - - ranking = 0.75keywords = haemorrhage (Clic here for more details about this article) |
13/30. Microscopic polyarteritis: a forgotten aetiology of haemoptysis and rapidly progressive glomerulonephritis.A 76 year old white woman died from massive pulmonary haemorrhage nine days after she was admitted to Parkland Memorial Hospital for evaluation of haemoptysis and rapidly progressive glomerulonephritis. The differential diagnosis of haemoptysis with rapidly progressive glomerulonephritis is presented with particular emphasis on Wegener's granulomatosis and microscopic polyarteritis. Necropsy showed a small vessel necrotising vasculitis associated with a focal segmental necrotising glomerulonephritis consistent with microscopic polyarteritis.- - - - - - - - - - ranking = 0.25keywords = haemorrhage (Clic here for more details about this article) |
14/30. Respiratory failure in leptospirosis.We report on four cases of leptospirosis with pulmonary manifestations as their presenting features. With adequate supportive therapy the prognosis is good. leptospirosis should be considered in the differential diagnosis of pulmonary haemorrhage.- - - - - - - - - - ranking = 0.25keywords = haemorrhage (Clic here for more details about this article) |
15/30. Massive haemoptysis in the acquired immunodeficiency syndrome.A 32-year-old male intravenous drug abuser was admitted to our institution with constitutional symptoms and sputum smears containing acid-fast bacilli, but no parenchymal disease on chest radiograph. He subsequently developed massive haemoptysis and required an emergency lobectomy. The pathology specimen revealed miliary tuberculosis with extensive caseation, schistosomiasis and cytomegalovirus. This is the first report of massive haemoptysis in the acquired immunodeficiency syndrome. The severe pulmonary haemorrhage was most likely due to miliary tuberculosis.- - - - - - - - - - ranking = 0.25keywords = haemorrhage (Clic here for more details about this article) |
16/30. Pulmonary disease in Behcet's syndrome.Five patients with Behcet's syndrome presenting with haemoptysis and recurrent radiographic opacities are reported, with a review of 23 similar cases. All 28 cases conformed to a definite clinical pattern with haemoptysis, usually accompanied by pyrexia, chest pain and dyspnoea, being the major feature. Typically pulmonary disease was associated with active disease at other sites, although the patients often only complained of haemoptysis. patients with Behcet's syndrome and haemoptysis, compared to those without haemoptysis, showed a marked male predominance, with thrombophlebitis and deep vein thrombosis being more common. Rarely pulmonary disease occurred in the absence of one or other of the so called 'major' criteria on which the diagnosis of Behcet's syndrome is usually made, as was so for four of our patients who did not have ocular disease. Immunopathological evidence suggests that the underlying pathogenesis is a pulmonary vasculitis which may result in arterial and venous thromboses, pulmonary infarction, pulmonary haemorrhage and pulmonary arterial aneurysm formation. A role for immune complexes in the pathogenesis of pulmonary disease in Behcet's syndrome is suggested by the finding of circulating immune complexes in association with active pulmonary disease. Corticosteroids were initially helpful in treating active disease in the lungs, and at other sites, in most of the patients in whom they were tried, including our five patients, but serious haemoptysis occasionally recurred, despite further treatment. Four of our patients were initially treated with anticoagulants for a presumed diagnosis of pulmonary embolism, but continued to have haemoptysis. One of these patients subsequently died following massive haemoptysis, despite good anticoagulant control. The haemoptysis in most of the 28 cases was notable for its severity, and in at least 11 (39.3 per cent), pulmonary haemorrhage was the probable cause of death. All deaths due to haemoptysis occurred within six years of the first episode. Whilst pulmonary disease with haemoptysis is infrequent, it carries a very serious prognosis and for this reason correct diagnosis and appropriate treatment is imperative. Pulmonary disease with haemoptysis should be included as one of the so called 'minor' criteria in the diagnosis of Behcet's syndrome.- - - - - - - - - - ranking = 0.5keywords = haemorrhage (Clic here for more details about this article) |
17/30. Progressive systemic sclerosis complicated by diffuse pulmonary haemorrhage.A case is reported of progressive systemic sclerosis with pulmonary fibrosis which was complicated by recurrent haemoptyses due to diffuse pulmonary haemorrhage. We have found no other report of this association. The haemorrhage finally remitted after treatment was started with 40 mg prednisone daily, though previously spontaneous remissions had occurred.- - - - - - - - - - ranking = 1.5keywords = haemorrhage (Clic here for more details about this article) |
18/30. Massive haemoptysis caused by mycobacterium xenopi.A 62-year-old man presented with haemoptysis and radiographic features compatible with pulmonary tuberculosis. His course was complicated by severe haemoptysis that required surgical lobectomy. mycobacterium xenopi was cultured from sputum and lung tissue. The post-operative course was complicated by gastro-intestinal haemorrhage and the patient died.- - - - - - - - - - ranking = 0.25keywords = haemorrhage (Clic here for more details about this article) |
19/30. Percutaneous lung biopsy. Management of tracheobronchial haemorrhage.A case is reported in which percutaneous lung biopsy was followed by haemorrhage into the tracheobronchial tree. Hypoxia followed, precipitating a cardiac arrest. The haemorrhage was isolated by the insertion of a double-lumen tube. Complications arising from this method of biopsy are reviewed and the measures necessary to control the potentially fatal problems are discussed.- - - - - - - - - - ranking = 1.5keywords = haemorrhage (Clic here for more details about this article) |
20/30. Haemoptysis associated with traumatic rupture of the thoracic aorta.A case with severe haemoptysis nearly three weeks after a chest trauma is presented. aortography revealed rupture of the aorta below the origin of the left subclavian artery. The rupture was caused by a fractured rib which also caused a tear in the lower lobe of the left lung. Aortic haemorrhage had dissected into the lung, causing a haematoma and finally resulting in a severe haemoptysis.- - - - - - - - - - ranking = 0.25keywords = haemorrhage (Clic here for more details about this article) |
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