Dieulafoy’s disease of the bronchial tree: a case report

Wadji, Massoud Baghai; Farahzadi, Athena

doi:10.1590/1516-3180.2016.0258191116

Cited by 17 publications

(28 citation statements)

References 8 publications

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“…Selective therapeutic BAE is often performed as the initial management for hemoptysis, including massive episodes [27,28], because BAE is less invasive than surgery and both physicians and patients prefer BAE as the first attempt to stop the bleeding [9]. BAE may not always be feasible and the failure rate of BAE is not negligible.…”

Section: Discussionmentioning

confidence: 99%

“…Most of the cases were reported from Asia (38 patients) [6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24], followed by Europe (23 patients) [3,4,[25][26][27][28][29][30][31][32][33][34][35][36][37], North America (seven patients) [38][39][40][41][42][43][44], Oceania (two patients) [5,45], and the country of origin was not reported for three patients (Fig. 2) [46].…”

Section: Continent and Country Of Originmentioning

confidence: 99%

“…There has been no consensus for treatment of BDD. Selective bronchial artery embolization (BAE) has been proposed as a method for stopping the bleeding, but BAE may fail and bleeding may recur [9]. Surgical resection should be considered in patients who are unstable, patients with uncontrolled hemoptysis, or following BAE failure [6].…”

Section: Introductionmentioning

confidence: 99%

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Bronchial Dieulafoy’s disease: a retrospective analysis of 73 cases

Qian

Wei

et al. 2019

BMC Pulm Med

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Background Bronchial Dieulafoy’s disease (BDD) is a rare disease that is known to be a cause of hemorrhage. The characteristics of this disease are still unknown. The present study describes the disorder based on a review of the world’s literature, emphasizing the diagnostic and therapeutic views. Methods A comprehensive research of BDD of the PubMed, Google Scholar, and Web of Science databases was performed. The following data were collected: patient characteristics; chest imaging, bronchoscopy, vascular angiography, and histopathologic examination findings; and treatment rendered. Results 73 cases of BDD have been reported from 1995 to 2019. Most of the cases occurred in Asia (52.1%), followed by Europe (31.5%). Chest imaging findings were non-specific. The main bronchoscopy finding was a nodular or protruding lesion (60.9%). 19 patients underwent bronchoscopic biopsies, 17 had bleeding, and 6 died. Four patients were successfully shown to have vascular malformations under mucosal protrusion by endobronchial ultrasound scan (EBUS). Vascular angiography mainly showed tortuous, dilated bronchial arteries. Vascular angiography mainly showed tortuous, dilated bronchial arteries. The arterial supply was mainly provided by bronchial arteries (48 cases) and the pulmonary circulation (4 cases). The lesions were mainly located in the right bronchus (53 cases). Selective bronchial artery embolization (BAE) was attempted in 38 patients and 20 patients underwent lobectomies. Emergency resection was performed in 15 patients, all of whom survived and had no recurrent hemoptysis. Conclusions Massive hemoptysis was the common manifestation of BDD. Vascular angiography and EBUS is a very useful examination before biopsy. BAE may be used in stable patients, or patients who cannot tolerate surgery, while surgical resection should be considered in patients who are unstable, patients with uncontrolled hemoptysis, or following BAE failure. Electronic supplementary material The online version of this article (10.1186/s12890-019-0863-1) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Section: Continent and Country Of Originmentioning

confidence: 99%

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Bronchial Dieulafoy’s disease: a retrospective analysis of 73 cases

Qian

Wei

et al. 2019

BMC Pulm Med

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“…Based on our experience of managing difficult hemoptysis in children, accurate localization of the exsanguinating lesion and the extent of the disease of our case were achieved by diagnostic angiography along with CTA and bronchoscopy ( 7 ). Intra-operative endobronchial ultrasound may have been useful to delineate the extension of submucosal vessels but was not utilized in our case due to lack of expertise ( 5 ).…”

Section: Discussionmentioning

confidence: 99%

Bronchial Dieulafoy's Disease in Children: A Case Report and Review of Literature

et al. 2020

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Dieulafoy's disease is a rare vascular lesion characterized by presence of large aberrant arteries within the submucosa of gastrointestinal tract or respiratory tract with a potential to cause life-threatening hemorrhage. Treatment includes bronchoscopy ablation, angiographic embolization or surgery. We report management of 7-year old girl with Dieulafoy's disease in the airway who presented with recurrent hemoptysis. Bronchial angiography revealed multiple feeding vessels to the lesion. Considering the potential risk of recurrence with embolization, sleeve resection of bronchus offered complete resolution. This case demonstrates the usefulness of bronchial angiography as part of multi-faceted approach before surgery in the management of Dieulafoy's disease.

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“…The most common location of Dieulafoy's lesion is the stomach (71%), especially along the lesser curvature of the gastric body, within 6-10 cm of the gastro esophageal junction, followed by the duodenum (15%) and esophagus (8%), whereas the colon accounts for only 2% of the cases [1,4,2]. Although even more rare, other organs involvement such as the bronchial tree have been also reported, with a total of 12 cases described [8].…”

Section: Discussionmentioning

confidence: 99%

Cecum Dieulafoy’s Lesion Presenting with Recurrent Lower Gastrointestinal Bleeding: Case Report

Guedes¹,

Carvalho²,

Arantes³

et al. 2018

JPP

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Introduction: Gastrointestinal Dieulafoy's lesion is a rare entity, of unknown etiology, and corresponds to an arterial malformation at the submucosal space that can be a source of life-threatening hemorrhage. We report a case of a Cecum Dieulafoy's bleeding lesion that was managed endoscopically with a favorable outcome. Case report: Female, 70-year-old, diagnosed with type 2 diabetes, hypothyroidism, and chronic heart failure associated with rheumatic mitral stenosis, submitted to biological valve replacement in 2006 and with permanent atrial fibrillation using vitamin K antagonist anticoagulant for thrombosis prophylaxis. Her background includes a stroke in 2004 without any permanent disability. In 2016, the patient experienced voluptuous and painless lower gastrointestinal bleeding with severe acute anemia, requiring hospital admission, fluid resuscitation and blood transfusion. Urgent colonoscopy revealed a small reddish vascular malformation at the cecum with oozing active bleeding, about 3 mm in size. Initially argon plasma coagulation was performed with satisfactory and immediate hemostasis. One week later, she recurred with hematochezia. The lesion at the cecum was reassessed and it was possible to notice a large caliber vessel surrounded by a normal appearance mucosa, compatible with Dieulafoy's lesion and it was treated with an endoscopic clip placement with a good long-term response. Conclusion: Endoscopy is the method of choice for diagnosis of Dieulafoy's lesion and may provide efficient treatment with mechanical hemostasis such as endoclip placement with a high success rate.

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Dieulafoy’s disease of the bronchial tree: a case report

Cited by 17 publications

References 8 publications

Bronchial Dieulafoy’s disease: a retrospective analysis of 73 cases

Bronchial Dieulafoy’s disease: a retrospective analysis of 73 cases

Bronchial Dieulafoy's Disease in Children: A Case Report and Review of Literature

Cecum Dieulafoy’s Lesion Presenting with Recurrent Lower Gastrointestinal Bleeding: Case Report

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