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KMID : 1141320170320010099
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Kosin Medical Journal
2017 Volume.32 No. 1 p.99 ~ p.104
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Bronchial Varices in a Patient with Behcet’s diasese: A Case Report
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Song Joon-Cheol
Park Bo-Geun
Jeong Chai-Ho
Kang Hye-Seon
Ahn Joong-Hyun
Kim Ju-Sang
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Abstract
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We report a case of a 65-year-old man with Behcet’s disease who presented with massive hemoptysis caused by bronchial varices. A computed tomography (CT) scan and bronchoscopy were performed to identify the bleeding site. The CT scan revealed pneumonia and a combined hemorrhage in the right-middle and lower lobes. Massive bleeding was detected during the bronchoscopy and emergency embolization was attempted but angiographic findings were normal. An anteriojugulo-right femoral bypass operation was performed to relieve the tortuous and hypertrophied jugular venous obstruction. However, thrombectomy and thrombolysis followed because of graft thrombosis six days post-surgery. The patient was treated with steroid and high-dose cyclophosphamide therapy for his Behcet’s disease, which caused the venous obstructions; the saccular bronchial varices in the right-middle and right lower lobes on bronchoscopy regressed slightly after four cycles of cyclophosphamide therapy.
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KEYWORD
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Behcet’s disease, Bronchoscopy, Superior vena cava syndrome
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