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Massive Hemoptysis Secondary to Rasmussen's Aneurysm in a Patient With Active Pulmonary Tuberculosis: A Case Report
Waqar Farooqi1, Nourah Alosaimi2, Shaden Alsenaidi3
1Internal Medicine, Faculty of Medicine, Al Maarefa University, Riyadh, SAU.
None:
Rasmussen's aneurysm is a rare but potentially deadly pseudoaneurysm of a pulmonary arterial branch adjacent to a tuberculous cavity. This report describes the case of a 38-year-old Bangladeshi man with uncontrolled type 2 diabetes who presented with sudden massive hemoptysis following six months of cough, weight loss, fever, and pleuritic chest pain. Imaging showed bilateral cavitary pulmonary tuberculosis with a pseudoaneurysm of the left lower-lobe pulmonary artery, consistent with a ruptured Rasmussen's aneurysm. Urgent endovascular embolization achieved complete hemostasis. This case exemplifies the paramount importance of timely recognition and prompt therapeutic intervention in reducing mortality arising from tuberculosis-associated pulmonary hemorrhage.
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