文章基本信息

标题：Rasmussen's Aneurysm Associate With Pulmonary Artery Vascular Malformation Presented With Haemoptysis
本地全文：下载
作者：Khaleda Parvin Rekha ; Umme Iffat Siddiqua ; Md Mofazzal Sharif 等
期刊名称：KYAMC Journal
印刷版ISSN：2308-2860
出版年度：2019
卷号：10
期号：3
页码：168-170
DOI：10.3329/kyamcj.v10i3.44424
出版社：Khwaja Yunus Ali Medical College and Hospital
摘要：Rasmussen's aneurysm is an inflammatory pseudo-aneurysmal dilatation of a branch of pulmonary artery associated with a cavitary lung lesion. Like any aneurysm, a Rasmussen's aneurysm is at increased risk of rupture and bleeding into the lungs. A 52 years old male presented with low-grade fever and haemoptysis, chest x-ray revealed a well margined nodular shadow with calcifications in mid zone of left lung associated with ipsilateral upper zone fibrosis and bronchiectasis. The patient had past history of pulmonary tuberculosis eight years back. For characterization of left pulmonary nodule the patient was referred to radiology and Imaging department and contrast CT scan of chest was done. Contrast CT scan of chest with reformat MIP pulmonary angiogram revealed a small pulmonary artery vascular malformation in lateral basal segment of lower lobe of left lung associated with left upper lobar cavitating lesion with fibrosis, traction bronchiectasis and Rasmussen's aneurysm arising from upper lobar apical segmental pulmonary artery. Early surgical or angiographic interventions with endovascular embolization are recommended once it be clearly diagnosed.
关键词：Hemoptysis; Pulmonary tuberculosis; Rasmussen's aneurysm