Weizhong Jin
Hangzhou First People’s Hospital,China
Title: The value of EBUS in the diagnosis of bronchi Dieulafoy’s disease
Biography
Biography: Weizhong Jin
Abstract
Endobronchial ultrasound (EBUS) can be of value in prompt diagnosis of the disorder.
Methods and results
Based on the EBUS, we currently have made diagnosis of Dieulafoy’s disease of bronchi in three patients with unexplained hemoptysis. Of which these patients, one was a 44-year-old male suffered from recurrent hemoptysis. Computed tomography of bronchial artery showed an absence of left upper pulmonary artery and patchy shadows in the left lower basal segmental lobe on CT scan. Flexible bronchoscopy revealed an elevated lesion in the left lower bronchus. The radial probe endobronchial ultrasound showed a circular anechoic area within the submucosa, circumscribed with a hyperechoic margin highly suggestive of vascular structures (figure 1). Of note, the anechoic area beat rhythmically in keeping with the pulse. The DSA revealed a left tortuous bronchial artery. The diagnosis was established. After transcatheter
embolization of the hypertrophic bronchial artery, DSA revealed complete disappearance of the
abnormal bronchial artery.
Conclusions
EBUS is competent to the diagnosis of Dieulafoy's disease of bronchi.