Rare cause of massive haemoptysis in pulmonary tuberculosis: Rasmussen's aneurysm

Neelakantan, Sankar; Anandarajan, Rakesh; Swamy, Anil Kumar

doi:10.1136/bcr-2016-216652

Cited by 5 publications

(7 citation statements)

References 3 publications

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“…This is similar to a recent study that described the case of a post-tubercular middle-aged woman who presented with a complaint of massive hemoptysis. On the contrast-enhanced CT (CECT) scan of the thorax, the lesion was diagnosed as a Rasmussen's aneurysm within a tubercular cavity, managed by transarterial embolization successfully [9].…”

Section: Discussionmentioning

confidence: 99%

Rasmussen's Aneurysm: A Rare Case

Jadhav¹,

Dhok²,

Chaudhari³

et al. 2022

Cureus

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Rasmussen's aneurysm is a very uncommon condition occurring in post-pulmonary tuberculosis patients. We are presenting a case of a young male patient with the chief complaints of hemoptysis, breathlessness on exertion, cough with expectoration and fever, and weight loss. A thorough radiological examination revealed multiple cavitary lesions, bronchiectasis, tree-in-bud appearance and pulmonary nodules, and areas of air-spaced opacities, indicating a likely diagnosis of post-primary pulmonary tuberculosis with stages of active infection and healed infection. The post-contrast study revealed a well-defined dilated vascular channel arising from a branch of the right pulmonary artery indicating pseudo-aneurysm formation, i.e., Rasmussen's aneurysm, within a large cavity in the right middle lobe. The patient underwent emergency trans-arterial embolization successfully and he was stable postoperatively.

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Section: Discussionmentioning

confidence: 99%

Rasmussen's Aneurysm: A Rare Case

Jadhav¹,

Dhok²,

Chaudhari³

et al. 2022

Cureus

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“…It is commonly found in upper lobes, on a peripheral pulmonary artery. It can vary in size and number but usually is less than 1 cm and present as a solitary lesion surrounded by parenchymal opacity or in wall of cavity 5–7. Multiple aneurysms and giant aneurysms although reported are rare 8–10.…”

Section: Discussionmentioning

confidence: 99%

“…Life-threatening haemoptysis defined as coughing out >100 mL of blood in 24 hours, or any haemoptysis that leads to haemodynamic instability is associated with a high mortality rate and warrants urgent life-saving interventions 3. Rasmussen’s aneurysm is often considered in patients with life-threatening haemoptysis with a prior history of pulmonary tuberculosis 4–6. However, it is extremely difficult to suspect Rasmussen’s aneurysm in a patient presenting with mild haemoptysis and a mass-like lesion on chest radiograph.…”

Section: Introductionmentioning

confidence: 99%

Rasmussen’s aneurysm masquerading as mass lesion

et al. 2020

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Haemoptysis is an often encountered respiratory symptom. The amount of haemoptysis varies from mild to life-threatening severity and may indicate the underlying pulmonary disorder. Herein, we report a 50-year-old male smoker who presented with occasional streaky to mild haemoptysis for last 1 year. He had pulmonary tuberculosis 10 years ago and had received adequate treatment. Chest radiograph was suspicious of a mass lesion in left upper lung. Contrast-enhanced CT scan of thorax revealed pulmonary artery pseudoaneurysm suggestive of Rasmussen’s aneurysm. Unlike this case, Rasmussen’s aneurysm usually manifests as life-threatening haemoptysis and portends a high mortality.

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“…Sin embargo, la TC con medio de contraste y la angioTC se han convertido en las modalidades iniciales de estudio de este grupo de pacientes por su precisión y disponibilidad. El pseudoaneurisma se identificará como un nódulo que realza ávidamente en la fase arterial, con lavado en la fase venosa, pero que conserva su morfología y se localiza dentro o adyacente a una cavitación tuberculosa (1,13,16).…”

Section: Discussionunclassified

“…El tratamiento de elección es la embolización arterial transcatéter precoz por sus altas tasas de éxito y con múltiples elementos comerciales disponibles para la embolización, como las embosferas, los coils, adhesivos tisulares, esponjas de gelatina, los balones y stents; los cuales reemplazan en la mayoría de los casos la cirugía abierta (16,17).…”

Section: Discussionunclassified

Pseudoaneurisma de Rasmussen: una rara, pero importante causa de hemoptisis. Presentación de un caso

Ramírez

Rengifo

2020

Rev. colomb. radiol.

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El pseudoaneurisma de Rasmussen es una de las causas de hemoptisis que a pesar de no ser muy común es importante conocer y tener en cuenta en el abordaje de estos pacientes. Típicamente ocurre en el contexto de la hemoptisis masiva y su abordaje, además de la estabilización del paciente, está enfocado en reconocerla como diagnóstico diferencial. El tratamiento inicial de estos pacientes incluye la radiografía de tórax convencional; sin embargo, la tomografía computarizada (TC) y la angioTC han mostrado el mayor rendimiento diagnóstico. Para su tratamiento, la embolización arterial transcatéter se ha consolidado como la técnica de elección; sin embargo, en algunos casos podría ser necesario el manejo quirúrgico abierto.

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Rare cause of massive haemoptysis in pulmonary tuberculosis: Rasmussen's aneurysm

Cited by 5 publications

References 3 publications

Rasmussen's Aneurysm: A Rare Case

Rasmussen's Aneurysm: A Rare Case

Rasmussen’s aneurysm masquerading as mass lesion

Pseudoaneurisma de Rasmussen: una rara, pero importante causa de hemoptisis. Presentación de un caso

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