Reply to ‘Dieulafoy’s Disease of the Lung: A Potential Disaster for the Bronchoscopist’

Löschhorn, Christoph; Knoblauch, A

doi:10.1159/000096837

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“…Under the bronchoscope, endobronchial Dieulafoy’s lesion is characterized as small (usually <1 cm in diameter) and smooth elevated nodular lesions, often with white pointed caps and ridge-like bulge between nodules. The sessile nodules are usually covered with by normal-appearing bronchial mucosa and can be pulsating or non-pulsating [ 7 ],[ 8 ],[ 20 ],[ 21 ]. If Dieulafoy’s disease of the bronchus is misdiagnosed as benign submucosal lesions under bronchoscopy, biopsy may be taken and results in lethal bleeding.…”

Section: Discussionmentioning

confidence: 99%

Dieulafoy’s disease of the bronchus: report of a case and review of the literature

Wang

2014

J Cardiothorac Surg

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BackgroundDieulafoy’s disease is a vascular anomaly characterized by the presence of a tortuous dysplastic artery in the submucosa. Although frequently occurring in the gastrointestinal tract, multiple cases of Dieulafoy’s disease in the bronchus have been reported in the literature.Methods and resultsWe report a case of a 15-year-old boy suffering recurrent massive hemoptysis. Bilobectomy stopped bleeding after unsuccessful treatment with embolization of bronchial artery.ConclusionIt is concluded a congenital origin of this disease. Angiography and endobronchial ultrasonography can be used to diagnose Dieulafoy’s disease of bronchus whereas bronchoscopy biopsy should be avoided. Surgery is needed when embolization fails.Electronic supplementary materialThe online version of this article (doi:10.1186/s13019-014-0191-8) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Dieulafoy’s disease of the bronchus: report of a case and review of the literature

Wang

2014

J Cardiothorac Surg

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Reply to ‘Dieulafoy’s Disease of the Lung: A Potential Disaster for the Bronchoscopist’

Cited by 1 publication

References 10 publications

Dieulafoy’s disease of the bronchus: report of a case and review of the literature

Dieulafoy’s disease of the bronchus: report of a case and review of the literature

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