Isolated bronchial hemangioma causing recurrent hemoptysis: A case report.

Area of Science:

• Pulmonology
• Vascular Surgery
• Interventional Radiology

Background:

• Bronchial hemangioma is a rare condition in adults.
• Massive hemoptysis from diffuse vascular proliferation can be fatal.

Observation:

• A 29-year-old woman experienced recurrent massive hemoptysis.
• Repeated interventional embolization was ineffective.
• Right upper lung lobectomy with extracorporeal membrane oxygenation support was performed.

Findings:

• The patient recovered and had no hemoptysis recurrence at 4-year follow-up.
• Surgical resection was successful in managing intractable hemoptysis.

Implications:

• Early surgical intervention may be crucial for bronchial hemangiomas with arteriovenous fistulae.
• Bronchial artery embolization (BAE) may be insufficient for diffuse vascular lesions.
• Aggressive management is necessary for life-threatening hemoptysis due to bronchial hemangioma.