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Case Report: Massive Hemoptysis From a Spontaneously Regression Inflammatory Bronchial Polyp
Yuichiro Iwamoto1,2, Haruka Takenouchi2, Katsumasa Koyama2
1Department of Diabetes, Endocrinology and Metabolism, Kawasaki Medical School, Kurashiki, Japan.
Frontiers in Medicine
|June 17, 2022
Summary
This case study highlights a rare instance of a bronchial inflammatory polyp causing severe bleeding that spontaneously resolved without intervention. It suggests considering non-surgical possibilities for such conditions.
Area of Science:
- Pulmonology
- Medical Case Reports
Background:
- Bronchial inflammatory polyps typically require surgical or medical treatment (steroids, antibiotics).
- Spontaneous resolution of these polyps is exceptionally rare.
Observation:
- A 66-year-old male presented with massive hemoptysis attributed to a bronchial inflammatory polyp.
- Initial bronchoscopy revealed a polypoidal lesion with pulsatile hemorrhage.
- Follow-up bronchoscopies documented lesion reduction and eventual complete disappearance over 106 days.
Findings:
- The bronchial inflammatory polyp, initially causing significant hemoptysis, resolved spontaneously.
- No active treatment was administered for the polyp itself.
Implications:
- Clinicians should consider the potential for spontaneous resolution in cases of bronchial inflammatory polyps, even those presenting with severe symptoms like massive hemoptysis.
- Treatment decisions for bronchial inflammatory polyps should be individualized based on patient condition and clinical context.
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