Massive hemoptysis caused by tracheal hemangioma treated with interventional radiology.
Capillary hemangiomas of the tracheobronchial tree are extremely rare in adults, with hemoptysis being one of the most serious forms of presentation. An operation has been the treatment of choice, although it does involve high rates of morbidity and mortality, especially in emergency situations such as massive hemoptysis, which has led to the search for other therapeutic alternatives. There is no experience with embolization by interventional radiology when the hemoptysis is tracheal in origin, caused partly because the infrequency of this pathology; however, the foundations for it have been laid with the development of embolization for bronchopulmonary pathology. We report a case of a tracheal capillary hemangioma in a 66-year-old woman diagnosed with idiopathic thrombopenic purpura, which began as a massive hemoptysis and was treated successfully with embolization by interventional radiology. There has been no recurrence of the bleeding after 1 year's follow-up, and the patient's control fibrobronchoscopy is normal.
Zambudio
Antonio Ríos
AR
Department of Surgery, Thoracic Surgery Unit, Hospital Universitario Virgen de la Arrixaca, Murcia, Spain. arzrios@teleline.es
Calvo
Maria Jose Roca
MJ
Lanzas
Juan Torres
JT
Medina
J García
JG
Paricio
Pascual Parrilla
PP
D000368:Aged; D001999:Bronchoscopy; D004621:Embolization, Therapeutic / Q000379:methods*; D004630:Emergencies; D005260:Female; D018324:Hemangioma, Capillary / Q000150:complications / Q000628:therapy*; D006469:Hemoptysis / Q000209:etiology*; D006801:Humans; D015641:Radiography, Interventional; D014134:Tracheal Neoplasms / Q000150:complications / Q000628:therapy*