title: [Hemoptysis in a patient with old pulmonary tuberculosis showing atypical findings in chest computed tomography].
abstract: We report the case of an 85-year-old woman who had pulmonary tuberculosis when she was in her forties. She was referred to our hospital because of hemoptysis, which lasted for a few days. Her laboratory data was unremarkable. Chest computed tomography (CT) scan showed a thin-walled cavity with extensive calcification in the right S2. There was no infiltrative shadow or bronchiectatic changes observed around the cavity. Active bleeding was observed to be occurring from the right B2. After arterialization, embolization was performed in the right S2. On the basis of the findings from this case, we recommend that clinicians perform bronchoscopy in patients with hemoptysis even if imaging studies show no typical findings suggesting hemorrhage. Further, although rare, old tuberculosis lesions such as a thin-walled cavity with calcification can cause hemoptysis.
authors.affiliation: Division of Respiratory Medicine, Mito Medical Center, University of Tsukuba, 3-2-7, Miyamachi, Mito-shi, Ibaraki 310-0015, Japan. hirosato@md.tsukuba.ac.jp
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Satoh
authors.forename: Katsunori
authors.initials: K
authors.lastname: Kagohashi
authors.forename: Gen
authors.initials: G
authors.lastname: Ohara
authors.forename: Kunihiko
authors.initials: K
authors.lastname: Miyazaki
authors.forename: Mio
authors.initials: M
authors.lastname: Kawaguchi
authors.forename: Koichi
authors.initials: K
authors.lastname: Kurishima
authors.forename: Hiroichi
authors.initials: H
authors.lastname: Ishikawa
mesh_terms: D000369:Aged, 80 and over; D005260:Female; D006469:Hemoptysis / Q000209:etiology*; D006801:Humans; D013902:Radiography, Thoracic; D014057:Tomography, X-Ray Computed; D014397:Tuberculosis, Pulmonary / Q000150:complications* / Q000000981:diagnostic imaging*