title: [Invasive pulmonary aspergillosis with hemoptysis; a resected case whose bleeding point is detected pathologically].
abstract: A 55-year-old man, who presented with recurrent episodes of hemoptysis, was referred to our hospital under the diagnosis of invasive aspergillosis with a cavity in the right lung. Computed tomography showed a large thick-walled cavity in the right upper lung. He underwent right upper lobectomy. Pathological findings showed a large cavity in right upper lobe. Aspergillus was found in the cavity. A pseudoaneurysm, which was thought to be a cause of hemoptysis, originated from a ruptured pulmonary artery and protruded into the cavity. Hemoptysis is well-known symptom in aspergillosis patients, and surgery for aspergillosis with hemoptysis is sometimes performed. But it is very rare that bleeding point is detected microscopically.
authors: Department of Thoracic Surgery, Tokyo National Hospital, Tokyo, Japan.
authors: Atsushi
authors: A
authors: Sano
authors: Eriho
authors: E
authors: Takeuchi
authors: Kentaro
authors: K
authors: Kitano
authors: Hideki
authors: H
authors: Kuwano
authors: Akira
authors: A
authors: Hebisawa
authors: Yutsuki
authors: Y
authors: Nakajima
mesh_terms: D006469:Hemoptysis / Q000209:etiology* / Q000473:pathology; D006801:Humans; D055744:Invasive Pulmonary Aspergillosis / Q000150:complications / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011651:Pulmonary Artery / Q000473:pathology*; D012422:Rupture, Spontaneous