Management of Post-tubercular Hemoptysis With Bronchial Artery Embolization: A Case Report

Pulmonary tuberculosis is a known cause of massive hemoptysis, which can be a life-threatening complication. This case explores the complexities of recurrent hemoptysis in a patient with a history of treated pulmonary tuberculosis. A 55-year-old gentleman with a history of pulmonary tuberculosis presented with progressive breathlessness and copious hemoptysis. Imaging revealed bronchiectasis, and computed tomography angiography indicated dilated bronchial arteries. Despite symptomatic management, the patient's condition deteriorated, necessitating multidisciplinary interventions. Bronchial artery embolization (BAE) successfully resolved the symptoms. Massive hemoptysis in pulmonary tuberculosis, though uncommon, demands thorough evaluation. Selective BAE has emerged as a crucial intervention. This case highlights the importance of a collaborative approach involving respiratory medicine and interventional radiology in managing complex cases of massive hemoptysis. BAE stands out as a viable and successful intervention in such scenarios.