Successful Endovascular Management of Recurrent Hemoptysis due to Multiple Rasmussen Aneurysms in a Case of Pulmonary Tuberculosis: A Rare Case Scenario

Background: Hemoptysis is defined as coughing out of blood. Pulmonary tuberculosis is the most common cause of hemoptysis in tuberculosis-endemic countries like India. Rasmussen aneurysm is a pseudoaneurysm arising from the pulmonary artery adjacent to or within a tuberculous cavity. Chest radiogra...

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Main Authors: Shritik Devkota, Harish Bhujade, Abhiman Baloji, Nidhi Prabhakar, Atul Saroch, Ujjwal Gorsi
Format: Article
Language:English
Published: Vilnius University Press 2024-06-01
Series:Acta Medica Lituanica
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Online Access:https://www.zurnalai.vu.lt/AML/article/view/34286
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author Shritik Devkota
Harish Bhujade
Abhiman Baloji
Nidhi Prabhakar
Atul Saroch
Ujjwal Gorsi
author_facet Shritik Devkota
Harish Bhujade
Abhiman Baloji
Nidhi Prabhakar
Atul Saroch
Ujjwal Gorsi
author_sort Shritik Devkota
collection DOAJ
description Background: Hemoptysis is defined as coughing out of blood. Pulmonary tuberculosis is the most common cause of hemoptysis in tuberculosis-endemic countries like India. Rasmussen aneurysm is a pseudoaneurysm arising from the pulmonary artery adjacent to or within a tuberculous cavity. Chest radiographs, chest computed tomography angiography (CTA), and digital subtraction angiography (DSA) are the imaging tools for evaluating a case of hemoptysis.Case: A 32-year-old man with a history of pulmonary tuberculosis presented with complaints of recurrent hemoptysis. On imaging evaluation, multiple pulmonary artery pseudoaneurysms were seen in the left lung. The patient was shifted to the DSA lab and the pseudoaneurysms were subsequently treated by endovascular coil embolization. Hemoptysis resolved following the procedure and the patient was again started on anti-tubercular therapy.Conclusion: Endovascular coiling is minimally invasive, safe, and effective management of multiple Rasmussen aneurysms for preventing possible torrential blood loss and unfortunate death.
format Article
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institution Kabale University
issn 1392-0138
2029-4174
language English
publishDate 2024-06-01
publisher Vilnius University Press
record_format Article
series Acta Medica Lituanica
spelling doaj-art-3287ff291caf4706bcd3423ff3099fca2025-02-11T18:08:37ZengVilnius University PressActa Medica Lituanica1392-01382029-41742024-06-0131110.15388/Amed.2024.31.1.25Successful Endovascular Management of Recurrent Hemoptysis due to Multiple Rasmussen Aneurysms in a Case of Pulmonary Tuberculosis: A Rare Case ScenarioShritik Devkota0https://orcid.org/0000-0001-5051-2037Harish Bhujade1Abhiman Baloji2https://orcid.org/0000-0002-3369-6409Nidhi Prabhakar3Atul Saroch4https://orcid.org/0000-0001-9723-6500Ujjwal Gorsi5Post Graduate Institute of Medical Education and Research, IndiaPost Graduate Institute of Medical Education and Research, IndiaPost Graduate Institute of Medical Education and Research, IndiaPost Graduate Institute of Medical Education and Research, IndiaPost Graduate Institute of Medical Education and Research, IndiaPost Graduate Institute of Medical Education and Research, India Background: Hemoptysis is defined as coughing out of blood. Pulmonary tuberculosis is the most common cause of hemoptysis in tuberculosis-endemic countries like India. Rasmussen aneurysm is a pseudoaneurysm arising from the pulmonary artery adjacent to or within a tuberculous cavity. Chest radiographs, chest computed tomography angiography (CTA), and digital subtraction angiography (DSA) are the imaging tools for evaluating a case of hemoptysis.Case: A 32-year-old man with a history of pulmonary tuberculosis presented with complaints of recurrent hemoptysis. On imaging evaluation, multiple pulmonary artery pseudoaneurysms were seen in the left lung. The patient was shifted to the DSA lab and the pseudoaneurysms were subsequently treated by endovascular coil embolization. Hemoptysis resolved following the procedure and the patient was again started on anti-tubercular therapy.Conclusion: Endovascular coiling is minimally invasive, safe, and effective management of multiple Rasmussen aneurysms for preventing possible torrential blood loss and unfortunate death. https://www.zurnalai.vu.lt/AML/article/view/34286Rasmussen aneurysmpulmonary tuberculosispulmonary artery pseudoaneurysmcoil embolization
spellingShingle Shritik Devkota
Harish Bhujade
Abhiman Baloji
Nidhi Prabhakar
Atul Saroch
Ujjwal Gorsi
Successful Endovascular Management of Recurrent Hemoptysis due to Multiple Rasmussen Aneurysms in a Case of Pulmonary Tuberculosis: A Rare Case Scenario
Acta Medica Lituanica
Rasmussen aneurysm
pulmonary tuberculosis
pulmonary artery pseudoaneurysm
coil embolization
title Successful Endovascular Management of Recurrent Hemoptysis due to Multiple Rasmussen Aneurysms in a Case of Pulmonary Tuberculosis: A Rare Case Scenario
title_full Successful Endovascular Management of Recurrent Hemoptysis due to Multiple Rasmussen Aneurysms in a Case of Pulmonary Tuberculosis: A Rare Case Scenario
title_fullStr Successful Endovascular Management of Recurrent Hemoptysis due to Multiple Rasmussen Aneurysms in a Case of Pulmonary Tuberculosis: A Rare Case Scenario
title_full_unstemmed Successful Endovascular Management of Recurrent Hemoptysis due to Multiple Rasmussen Aneurysms in a Case of Pulmonary Tuberculosis: A Rare Case Scenario
title_short Successful Endovascular Management of Recurrent Hemoptysis due to Multiple Rasmussen Aneurysms in a Case of Pulmonary Tuberculosis: A Rare Case Scenario
title_sort successful endovascular management of recurrent hemoptysis due to multiple rasmussen aneurysms in a case of pulmonary tuberculosis a rare case scenario
topic Rasmussen aneurysm
pulmonary tuberculosis
pulmonary artery pseudoaneurysm
coil embolization
url https://www.zurnalai.vu.lt/AML/article/view/34286
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