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Case Report



A rare case of massive hemoptysis: Long-term complication of thoracotomy; rib fracture

Emine Guzey, Murat Yalcinsoy, Muhammed Reha Celik, Ramazan Kutlu, Unal Akel.




Abstract
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Massive hemoptysis is one of the fatal condition in the symptoms of chest diseases. Airway protection and etiology therapy is life-saving. A 29-year-old male patient was referred to our center for massive hemoptysis. He had 10 packet-years of smoking and lung cyst operation 20 years ago. Bleeding could not be stopped by bronchoscopic intervention in the outer center. Pulmonary imaging showed consolidation and laceration with right rib fracture and bone density within the parenchyma. Bronchial artery embolization was performed. He was operated due to lack of bleeding control. Recurrentoperations were performed until pneumonectomy due to expansion defect. The patient has been followed up for 2 years and is asymptomatic. Hemoptysis was considered due to the operation complication performed 20 years ago.We aimed to present a patient who presented with massive hemoptysis due to a previously unreported cause.

Key words: Massive hemoptysis; thoracotomy; rib fracture






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