Dieulafoy's disease of the bronchus in association with a paravertebral neurilemoma.
Dieulafoy's disease is a vascular anomaly characterized by the presence of a dysplastic artery that is related to an epithelial ulcer. While it is most frequently a GI condition, occurrence in the bronchus has been reported previously in six cases. We present the case of a 51-year-old man with severe hemoptysis and epistaxis. Chest radiographs showed diffuse density in the right base and a mass in the pedicle of T4. The results of bronchoscopy corroborated an active arterial bleeding point in the bronchus of the right middle lobe. A middle and lower lobectomy was performed with resection of the paravertebral mass. The final diagnoses were bronchial Dieulafoy's disease and paravertebral neurilemoma.
Stoopen
E
E
Department of Surgery, The ABC Medical Center, Mexico City, Mexico. estoopen@hotmail.com
Baquera-Heredia
J
J
Cortes
D
D
Green
L
L
D001165:Arteriovenous Malformations / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D001980:Bronchi / Q000098:blood supply* / Q000473:pathology; D003937:Diagnosis, Differential; D006469:Hemoptysis / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009442:Neurilemmoma / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D011013:Pneumonectomy