A rare case of solitary pulmonary cavernous haemangioma with non-resolving recurrent haemoptysis
- 6 Downloads
A 24-year-old male presented with history of recurrent unresolving haemoptysis since 1.5 years. He underwent repeated hospitalisation. Initial computed tomography (CT) scan was suggestive of pneumonitis of the left lower lobe and was treated conservatively with broad-spectrum antibiotics. He had no past history of pulmonary tuberculosis. On presentation at our hospital, a repeat CT pulmonary angiogram was done which showed a low attenuating mass lesion in the left lower lobe with eccentric calcification supplied by branches from the left pulmonary artery. Few dot-like enhancing pulmonary veins are noted within the lesion. He underwent left lower lobectomy. Post-operative period was uneventful and patient was discharged on the ninth post-operative day. On histopathology, the diagnosis was primary haemangioma arising from the lung parenchyma which is a rare benign lung tumour reported worldwide and probably for the first time from India.
KeywordsRecurrent haemoptysis Pulmonary cavernous haemangioma Lobectomy
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
The above paper has been done with full permission of the ethics committee. A copy of written ethical approval will be provided for review by the Editor-in-Chief of this journal.
Written informed consent was obtained from the patient for publication of this case report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.
- 1.Miyamato U, Tominaga M, Tomimitsu S, Nakanishi K, Hayashi A, Irie K. A case of multiple pulmonary cavernous hemangioma. Respirol Case Rep. 2015;3(1):29–32.Google Scholar
- 2.Isil Z. Yildiz-Aktas, Frank Schneider. Pulmonary pathology case index-763—a 66 year old female with a lung mass Final Diagnosis-Cavernous UPMC Department of Pittsburgh. path.upmc.edu/cases/case763/dx.html.
- 3.Chen QR, Li H, Hu B, Jin ML, Guo J. Multiple cavernous hemangiomas of the lung. Ann Thorac Surg. 2014;98:1835–37.Google Scholar
- 4.Sirmali M, Demirag F, Aydin E, Karasu S, Kaya S. A pulmonary cavernous hemangioma causing massive hemoptysis. Ann Thorac Surg. 2003;76:1275–6.Google Scholar
- 5.Shields, T.W. and Robinson P.G. Benign tumours of the lung. in: T.W. Shields, J.Lo Cicerco, R.B. Ponn (7th Edn) General thoracic surgery. Lippincott Williams and Wilkins, Philadelphia 2009: 1578.Google Scholar
- 6.Maeda R, Isowa N, Sumitomo S, Matsuoka K. Pulmonary cavernous hemangioma. Gen Thorac Cardiovasc Surg. 2007;55:177–9.Google Scholar
- 9.Fine S, Whitney K. Multiple cavernous hemangiomas of the lung—a case report and review of literature. Arch Pathol Lab Med. 2004:1439–41.Google Scholar