title: Endobronchial argon plasma coagulation for treatment of Dieulafoy disease.
abstract: Dieulafoy disease of the bronchus is a rare condition. A 28-y-old male patient with recurrent exacerbations of hemoptysis (producing up to 300 mL) over the previous 4 y was admitted to our hospital following an acute episode. A 3-mm sessile lesion covered with somewhat ulcerated smooth mucosa was detected at the distal end of the left main bronchus, at the entrance to the upper lobe bronchus. Bleeding was controlled by argon plasma coagulation, and total coagulation of the lesion was also therapeutic. The patient has been followed for 2 y with no further bleeding. In the very few reported cases of Dieulafoy disease, surgical resection and selective embolization were the treatments used. Endobronchial treatment has not been described before as a therapeutic approach. We emphasize that argon plasma coagulation can be a treatment option in such cases.
authors.affiliation: Department of Pulmonary Medicine, School of Medicine, İstanbul Bilim University, İstanbul, Turkey. leventdalar@gmail.com.
authors.forename: Levent
authors.initials: L
authors.lastname: Dalar
authors.affiliation: Department of Interventional Pulmonology.
authors.forename: Sinem N
authors.initials: SN
authors.lastname: Sökücü
authors.affiliation: Department of Interventional Pulmonology.
authors.forename: Cengiz
authors.initials: C
authors.lastname: Özdemir
authors.affiliation: Department of Thoracic Surgery, Yedikule Chest Diseases and Thoracic Surgery Teaching and Research Hospital, İstanbul, Turkey.
authors.forename: Songül
authors.initials: S
authors.lastname: Büyükkale
authors.affiliation: Department of Interventional Pulmonology.
authors.forename: Sedat
authors.initials: S
authors.lastname: Altın
mesh_terms: D000328:Adult; D057908:Argon Plasma Coagulation; D001982:Bronchial Diseases / Q000628:therapy*; D001999:Bronchoscopy; D006469:Hemoptysis / Q000209:etiology / Q000628:therapy; D016558:Hemostasis, Endoscopic / Q000379:methods*; D006801:Humans; D008297:Male; D014652:Vascular Diseases / Q000628:therapy*
keywords: Dieulafoy disease; bronchoscopy; coagulation; hemoptysis; vascular malformation