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Behçet's disease presenting with massive hemoptysis related to bronchovascular fistula: A case report
Mehmet Ali Bedirhan1, Naciye Arda2, Elif Tanrıverdi3
1Department of Thoracic Surgery, Yedikule Chest and Diseases and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey.
Abstract:
A 37-year-old male patient was admitted to our hospital with recurrent hemoptysis, 50 mL per day. Thoracic computed tomography showed no pathology responsible for hemoptysis. Bronchoscopy revealed mucosal infiltrations and 2 to 3-mm blotch in the lateral wall of the right lower lobe. After punch biopsy of the suspected area, massive bleeding occurred. Right lower bilobectomy was performed urgently. A bronchovascular fistula was noticed at the specimen. Pathological examination result was compatible with clinically suspected Behçet"s disease. The patient was given high-dose steroid and cyclophosphamide treatment and received azathioprine maintenance treatment for 18 months. He has been symptom-free for three-year follow-up.
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