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Massive Hemoptysis in Pulmonary Tuberculosis From Rasmussen Pseudoaneurysm
Ahmed Shebani1, Mohamed Hnish2, Hussam Elmelliti3
1Internal Medicine, Hamad Medical Corporation, Doha, QAT.
Cureus
|November 16, 2022
Summary
Massive hemoptysis, a severe complication of pulmonary tuberculosis, can stem from Rasmussen aneurysm. Successful embolization via interventional radiology offers a preferred treatment for this rare but life-threatening condition.
Area of Science:
- Pulmonology
- Vascular Medicine
- Infectious Diseases
Background:
- Massive hemoptysis is a life-threatening complication of pulmonary tuberculosis, often caused by erosion of pulmonary vessels.
- Tuberculous vascular lesions can lead to arteritis, thrombosis, arterial dilation, and Rasmussen aneurysms, a rare cause of hemoptysis.
Observation:
- A 45-year-old male with symptoms suggestive of pulmonary tuberculosis developed massive hemoptysis and respiratory distress.
- Computed tomography angiography identified a Rasmussen aneurysm in the left lower lobe pulmonary artery.
Findings:
- The patient required intubation and intensive care unit admission due to the severity of hemoptysis.
- Successful embolization of the Rasmussen aneurysm was performed using interventional radiology.
Implications:
- Interventional radiology is highlighted as a preferred treatment over surgery for hemoptysis in pulmonary tuberculosis patients due to compromised respiratory reserve.
- This case underscores the importance of considering rare vascular complications like Rasmussen aneurysm in managing pulmonary tuberculosis.
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