A diagnostic dilemma of right lower lobe collapse caused by pulmonary bilharsiasis.
A 32-year-old male was presented with massive haemoptysis. An urgent chest X-ray (Fig. 1a) and CT chest (Fig. 1b-e) was done revealing a right lower lobe consolidation collapse. An urgent rigid bronchoscopy was performed to localize the source of bleeding and try to control it. A right lower lobectomy was done using a double-lumen endotracheal tube. Preoperative and intraoperative impressions of non-specific inflammation were accused to be the aetiology. Histopathology revealed pulmonary venous congestion with bilharsial ova.
Cardiothoracic Surgery Department, Mansoura University, Egypt. Sameh001@yahoo.com
Sameh Ibrahim
SI
Sersar
Reda Ahmed
RA
Abulmaaty
Hala Ahmed
HA
Elnahas
Sherif Abdou
SA
Moussa
Usama A
UA
Shiha
Wael A Abdel
WA
Ghafar
Raed A
RA
Elmotawaly
D000208:Acute Disease; D000328:Adult; D002908:Chronic Disease; D003937:Diagnosis, Differential; D006801:Humans; D008174:Lung Diseases, Parasitic / Q000150:complications* / Q000000981:diagnostic imaging; D008297:Male; D001261:Pulmonary Atelectasis / Q000000981:diagnostic imaging / Q000469:parasitology*; D011859:Radiography; D012552:Schistosomiasis / Q000150:complications* / Q000000981:diagnostic imaging