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Dieulafoy’s disease of the lung: a report of three cases with review of pathological aspects

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Abstract

Dieulafoy’s disease of the lung is one of the causes of cryptogenic hemoptysis often massive and recurrent, caused by dysplastic superficially located arteries in the bronchial wall. Being a rare condition, available literature on this condition is limited to a few case reports and series. We report three such cases presenting with severe hemoptysis uncontrolled by bronchial artery embolization who subsequently underwent resection of the involved lobe of the lung. The clinical, radiological, bronchoscopic, and pathological features are discussed with emphasis on the gross and microscopic characteristics that aid in the pathological diagnosis in the resected specimens.

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References

  1. Loschhom C, Nierhoff N, Mayer R, Zaunbauer W, Neuweiler J, Knoblauch A. Dieulafoy’s disease of the lung: a potential disaster for the bronchoscopist. Respiration. 2006;73:562–5.

    Article  Google Scholar 

  2. Schmulewitz N, Baillie J. Dieulafoy lesions: a review of 6 years experience at a tertiary referral center. Am J Gastroenterol. 2001;96:1688–94.

    Article  CAS  PubMed  Google Scholar 

  3. Jindal SK, Shankar PS, Raoof S, Gupta D. Textbook of pulmonary and critical care medicine, Vols 1 & 2. New Delhi: Jaypee Brothers, Medical Publishers; 2011.

    Google Scholar 

  4. Sweerts M, Nicholson AG, Goldstraw P, Corrin B. Dieulafoy’s disease of the bronchus. Thorax. 1995;50:697–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  5. Parrot A, Antoine M, Khalil A, et al. Approach to diagnosis and pathological examination in bronchial Dieulafoy disease: a case series. Respir Res. 2008;9:58.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Savale L, Parrot A, Khalil A, et al. Cryptogenic hemoptysis: from a benign to a life-threatening pathologic vascular condition. Am J Respir Crit Care Med. 2007;175:1181–5.

    Article  PubMed  Google Scholar 

  7. Barisione EE, Ferretti GG, Ravera SS, Sailo MM. Dieulafoy’s disease of the bronchus: a possible mistake. Multidiscip Respir Med. 2012;7:40.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Kuzucu A, Gurses I, Soysal O, Kutlu R, Ozgel M. Dieulafoy’s disease: a cause of massive hemoptysis that is probably underdiagnosed. Ann Thorac Surg. 2005;80:1126–8.

    Article  PubMed  Google Scholar 

  9. Pomplun S, Sheaff MT. Dieulafoy’s disease of the bronchus: an uncommon entity. Histopathology. 2005;46:598–9.

    Article  CAS  PubMed  Google Scholar 

  10. Van der Werf TS, Timmer A, Zijlstra JG. Fatal haemorrhage from Dieulafoy’s disease of the bronchus. Thorax. 1999;54:184–5.

    Article  PubMed  PubMed Central  Google Scholar 

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Acknowledgments

The authors thank Dr. Pattabhiraman. V.R, Consultant Pulmonologist, KMCH, Coimbatore for the valuable insights and bronchoscopic images.

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Correspondence to Preithy Uthamalingam.

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This study was not funded by any authority.

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This article does not contain any studies with human participants or animals performed by any of the authors.

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The authors declare that they have no conflict of interest.

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Venus, A., Uthamalingam, P., Sitaram, B. et al. Dieulafoy’s disease of the lung: a report of three cases with review of pathological aspects. Indian J Thorac Cardiovasc Surg 32, 217–220 (2016). https://doi.org/10.1007/s12055-016-0442-5

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  • DOI: https://doi.org/10.1007/s12055-016-0442-5

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