1. [Invasive pulmonary aspergillosis with hemoptysis; a resected case whose bleeding point is detected pathologically].
- Author
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Sano A, Takeuchi E, Kitano K, Kuwano H, Hebisawa A, and Nakajima Y
- Subjects
- Hemoptysis pathology, Humans, Invasive Pulmonary Aspergillosis complications, Invasive Pulmonary Aspergillosis pathology, Male, Middle Aged, Rupture, Spontaneous, Hemoptysis etiology, Invasive Pulmonary Aspergillosis surgery, Pulmonary Artery pathology
- 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.
- Published
- 2011