Recurrent major haemoptysis: progression to pneumonectomy

A 50-year-old white man with recurrent major haemoptysis is described. The main problem in management was in detecting the aetiology and source of the haemoptysis. Rigid bronchoscopy is essential in the evaluation and treatment of patients with massive haemoptysis, and once the site of bleeding has been established, pulmonary resection offers the best chance of survival. The operation performed is usually lobectomy, although pneumonectomy, as with our patient, may be necessary.