Matteo Fontana
Department of Medical and Surgical Sciences, University of Modena Reggio Emilia, Modena
Filippo Gozzi
Department of Medical and Surgical Sciences, University of Modena Reggio Emilia, Modena
Ivana Castaniere
Department of Medical and Surgical Sciences, University of Modena Reggio Emilia, Modena
Alessandro Marchioni
Respiratory Diseases Unit and Centre for Rare Lung Diseases, University Hospital of Modena, Modena
Riccardo Fantini
Respiratory Diseases Unit and Centre for Rare Lung Diseases, University Hospital of Modena, Modena
Francesca Coppi
Cardiology Unit, University of Modena, Modena
Filippo Natali
Respiratory Diseases Unit, University Hospital S. Orsola Malpighi, Bologna
Elisabetta Rovatti
Respiratory Diseases Unit and Centre for Rare Lung Diseases, University Hospital of Modena, Modena
Enrico Clini
Department of Medical and Surgical Sciences, University of Modena Reggio Emilia, Modena; Respiratory Diseases Unit and Centre for Rare Lung Diseases, University Hospital of Modena, Modena
Aortobronchial fistula, Hemoptysis,, Aortic surgery
Abstract
Background: Hemoptysis is a frequent sign of respiratory and non-respiratory diseases. While in most cases the underlying cause is rapidly identified, sometimes the real etiology might be misdiagnosed with dramatic delay in treatment. Case presentation: A 46-year-old man with hiatal hernia and a history of aortic surgery for aortic coarctation presented with dramatic episodes of hemoptysis and subsequent severe anemia (6,9 g/dl). Digestive and respiratory endoscopy resulted not exhaustive, thus he underwent a contrast-enhanced computed tomography (CT) scan of the chest that showed an aneurysmal dilatation of the descending thoracic aorta with suspected aortobronchial fistula. He underwent cardiac surgery that confirmed the diagnosis and successfully treated the fistula. Conclusion: We briefly review the literature to raise clinical awareness on this uncommon cause of hemoptysis.
Tonelli R, Fontana M, Gozzi F, Castaniere I, Marchioni A, Fantini R, et al. An uncommon cause of hemoptysis: aortobronchial fistula. Multidiscip Respir Med [Internet]. 2018 Sep. 10 [cited 2024 Jul. 4];13(1). Available from: https://mrmjournal.org/index.php/mrm/article/view/179
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