ZHAO Jing, LIN Yiting, LI Yunkui, ZHANG Xiaotong, ZHAO Yuanyuan, CHEN Yong, CHEN Keqi, WANG Mengzhao. A Case Report of Thoracic Enhanced Chest CT Combined with Endobronchial Ultrasound for the Diagnosis of Asymptomatic Bronchial Dieulafoy's Disease[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(3): 629-632. DOI: 10.12290/xhyxzz.2022-0423
Citation: ZHAO Jing, LIN Yiting, LI Yunkui, ZHANG Xiaotong, ZHAO Yuanyuan, CHEN Yong, CHEN Keqi, WANG Mengzhao. A Case Report of Thoracic Enhanced Chest CT Combined with Endobronchial Ultrasound for the Diagnosis of Asymptomatic Bronchial Dieulafoy's Disease[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(3): 629-632. DOI: 10.12290/xhyxzz.2022-0423

A Case Report of Thoracic Enhanced Chest CT Combined with Endobronchial Ultrasound for the Diagnosis of Asymptomatic Bronchial Dieulafoy's Disease

More Information
  • Corresponding author:

    WANG Mengzhao, E-mail: mengzhaowang@sina.com

  • Received Date: August 01, 2022
  • Accepted Date: December 08, 2022
  • Issue Publish Date: May 29, 2023
  • We reported a rare case of asymptomatic bronchial Dieulafoy's disease diagnosed by enhanced chest CT combined with endobronchial ultrasound (EBUS). The enhanced chest CT showed nodular neoplasm in the left main bronchus and partial enhancement in arterial phase. Bronchoscopy showed nodular mucosal protrusion lesion at the distal end of the left main bronchus, and the protrusion lesion had smooth surface and no pulsation, with some microvessels on it, and obvious submocasal blood flow signals were seen by endobronchial ultrasound. The diagnosis of bronchial Dieulafoy disease was considered based on the above findings and biopsy was not performed. In patients without haemoptysis, if there are nodular neoplasms in the main airway on bronchoscopy, enhanced chest CT combined with EBUS can be used to diagnose bronchial Dieulafoy's disease and avoid fatal haemorrhage due to conventional biopsy. The method is non-invasive, safe and effective, and worthy of clinical application.
  • [1]
    Sweerts M, Nicholson AG, Goldstraw P, et al. Dieulafoy's disease of the bronchus[J]. Thorax, 1995, 50: 697-698. http://thorax.bmj.com/content/50/6/697.abstract
    [2]
    Parrot A, Antoine M, Khalil A, et al. Approach to diagnosis and pathological examination in bronchial Dieulafoy disease: a case series[J]. Respir Res, 2008, 9: 58. http://core.ac.uk/download/pdf/81537116.pdf
    [3]
    Qian X, Du Q, Wei N, et al. Bronchial Dieulafoy's disease: a retrospective analysis of 73 cases[J]. BMC Pulm Med, 2019, 19: 104. http://www.socolar.com/Article/Index?aid=200253243488&jid=200000025497
    [4]
    Zhou P, Yu W, Chen K, et al. A case report and review of literature of Dieulafoy's disease of bronchus: A rare life-threatening pathologic vascular condition[J]. Medicine (Baltimore), 2019, 98: e14471. http://www.ncbi.nlm.nih.gov/pubmed/30762767
    [5]
    Liao SX, Sun PP, Li BG, et al. A rare and fatal respiratory disease: bronchial Dieulafoy's disease[J]. Ther Adv Respir Dis, 2020, 14: 1753466620929236. http://www.socolar.com/Article/Index?aid=200253269341&jid=200000015654
    [6]
    Padilla-Serrano A, Estrella-Palomares V, Martínez-Palacios B, et al. A case of massive hemoptysis related to a smoking-history: an acquired form of the Dieulafoy's disease?[J]. Rev Port Pneumol, 2015, 21: 276-279. http://www.onacademic.com/detail/journal_1000038398139310_716b.html
    [7]
    Chen W, Chen P, Li X, et al. Clinical characteristics and treatments for bronchial Dieulafoy's disease[J]. Respir Med Case Rep, 2019, 26: 229-235. http://doc.paperpass.com/foreign/rgArti2019396620742.html
    [8]
    van der Werf TS, Timmer A, Zijlstra JG. Fatal haemorrhage from Dieulafoy's disease of the bronchus[J]. Thorax, 1999, 54: 184-185. http://pdfs.semanticscholar.org/abb8/df31d340221cda6ec332e00f7d7a7f4eced4.pdf
    [9]
    Gurioli C, Casoni GL, Gurioli C, et al. Endobronchial ultrasound in Dieulafoy's disease of the bronchus: an additional application of EBUS[J]. Monaldi Arch Chest Dis, 2010, 73: 166-168. http://www.researchgate.net/profile/Venerino_Poletti/publication/50849042_Endobronchial_ultrasound_in_Dieulafoy&
    [10]
    Ganganah O, Guo S, Chiniah M, et al. Endobronchial ultrasound and bronchial artery embolization for Dieulafoy's disease of the bronchus in a teenager: A case report[J]. Respir Med Case Rep, 2015, 16: 20-23. http://www.sciencedirect.com/science/article/pii/S2213007115000313/pdfft?md5=c744faa76b21cd5611559507bddb12f7&pid=1-s2.0-S2213007115000313-main.pdf
    [11]
    潘峰, 王芳, 刘卓, 等. 支气管Dieulafoy病的支气管动脉CT造影特点[J]. 中华结核和呼吸杂志, 2018, 41: 949-953.
    [12]
    Colt HG, Davoudi M, Murgu S. Scientific evidence and principles for the use of endobronchial ultrasound and transbronchial needle aspiration[J]. Expert Rev Med Devices, 2011, 8: 493-513. http://www.onacademic.com/detail/journal_1000037359315510_1bbf.html
    [13]
    Mincholé E, Penin RM, Rosell A. The Utility of Linear Endobronchial Ultrasound for the Incidental Finding of Dieulafoy Disease of the Bronchus[J]. J Bronchology Interv Pulmonol, 2018, 25: e48-e50. http://www.ncbi.nlm.nih.gov/pubmed/30247294
    [14]
    Casoni GL, Gurioli C, Romagnoli M, et al. Diagnosis of pulmonary thromboembolism with endobronchial ultrasound[J]. Eur Respir J, 2008, 32: 1416-1417.
    [15]
    胡惠蓉, 曾奕明, 洪苓苓. 气道内超声检查对气道黏膜隆起病变的诊断价值[J]. 中华结核和呼吸杂志, 2016, 39: 514-518.
    [16]
    张建峰, 叶健, 陈灏, 等. 结合气道内超声诊断支气管Dieulafoy病1例[J]. 中国乡村医药, 2015, 24: 70-74. https://www.cnki.com.cn/Article/CJFDTOTAL-XCYY201524038.htm
    [17]
    Chen Y, Mao Y, Cheng X, et al. Case Report: A Case of Infant Bronchial Dieulafoy's Disease and Article Review[J]. Front Pediatr, 2021, 9: 674509. http://www.socolar.com/Article/Index?aid=100090471859&jid=100000011556
    [18]
    贾卫红, 杨栋才, 侯飞飞, 等. 支气管Dieulafoy病30例临床误诊分析[J]. 临床误诊误治, 2019, 32: 4-8. https://www.cnki.com.cn/Article/CJFDTOTAL-LCWZ201907003.htm
    [19]
    杨瑞红, 李剑锋, 刘军, 等. 支气管Dieulafoy病三例并文献复习[J]. 中华结核和呼吸杂志, 2013, 36: 577-580. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJSA201606023.htm
    [20]
    Dalar L, Sökücü SN, Özdemir C, et al. Endobronchial argon plasma coagulation for treatment of Dieulafoy disease[J]. Respir Care, 2015, 60: e11-e13.
    [21]
    刘丽琼, 李艳丽, 刘艳红, 等. 支气管Dieulafoy病的诊治进展[J]. 中华结核和呼吸杂志, 2016, 39: 127-130. https://www.cnki.com.cn/Article/CJFDTOTAL-BJYX201304022.htm
  • Related Articles

    [1]YAN Xinchun, HUO Li. Evaluation of Von Hippel-Lindau Syndrome Through Novel Small Molecular Tracer 68Ga-NY104 PET/CT Imaging[J]. Medical Journal of Peking Union Medical College Hospital, 2024, 15(4): 911-915. DOI: 10.12290/xhyxzz.2024-0216
    [2]ZHU Shikun, ZHANG Shu, LUO Yaping. SPECT/CT in Localization of Sentinel Lymph Node of Skin Tumors[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(4): 795-801. DOI: 10.12290/xhyxzz.2023-0170
    [3]HAN Pingping, FU Liping, ZHANG Ling, FENG Hongxiang, SHI Yanfen, ZHENG Yumin. Analysis of the Features of 18F-FDG PET/CT and Enhanced CT in Patients with Primary Pulmonary Mucinous Adenocarcinoma[J]. Medical Journal of Peking Union Medical College Hospital, 2022, 13(2): 270-276. DOI: 10.12290/xhyxzz.2021-0705
    [4]JIA Chenhao, WU Meiqi, GUO Ruijie, NI Jun, CUI Ruixue. Comparative Study of 18F-FDG PET/CT Metabolic Alteration Patterns in Cerebral Amyloid Angiopathy and Alzheimer's Disease[J]. Medical Journal of Peking Union Medical College Hospital, 2022, 13(2): 263-269. DOI: 10.12290/xhyxzz.2021-0693
    [5]Li LI, Li-na ZHANG, Chinese Critical Ultrasound Study Group. Lung Ultrasound and CT Assessment of Lung Injury in COVID-19: Which One is Better[J]. Medical Journal of Peking Union Medical College Hospital, 2020, 11(5): 514-517. DOI: 10.3969/j.issn.1674-9081.2020.05.003
    [6]Zi WANG, Bing-bin ZHAO, Jiu-liang ZHAO, Hua CHEN, Guo-tao MA, Jian-zhou LIU, Wen-qian CHEN, Chi SHAO, Jin-zhi LAI, Wei CHENG, Qi MIAO, Xiao-feng ZENG, Feng-chun ZHANG, Jin-jing LIU. Arthritis, Dyspnea and Hemoptysis on Exertion[J]. Medical Journal of Peking Union Medical College Hospital, 2020, 11(3): 347-353. DOI: 10.3969/j.issn.1674-9081.20190181
    [7]Xiao-na JIN, Nai-xin LIANG, Meng-zhao WANG, Bing JIA, Xi-min SHI, Shan-qing LI, Fang LI, Fan WANG, Zhao-hui ZHU. Integrin Receptor Imaging 99mTc-3PRGD2 SPECT/CT in Diagnosis and Lymph Node Staging of Non-Small Cell Lung Cancer[J]. Medical Journal of Peking Union Medical College Hospital, 2016, 7(5): 327-333. DOI: 10.3969/j.issn.1674-9081.2016.05.002
    [10]Shuo LI, Yi-ning WANG, Ling-yan KONG, Zhi-wei WANG, Kang ZHOU, Hong-ling FAN, Ming WANG, Zheng-yu JIN. Comparison of Prospective and Retrospective Electrocardiogram-triggered Coronary CT Angiography Using Dual-source CT[J]. Medical Journal of Peking Union Medical College Hospital, 2012, 3(2): 208-212. DOI: 10.3969/j.issn.1674-9081.2012.02.017
  • Cited by

    Periodical cited type(1)

    1. 刘敏,杨金苹,赵金颜,乔建红. 老年共病患者自我感知老化、抑郁情绪与生活质量的相关性研究. 心理月刊. 2024(21): 58-60 .

    Other cited types(0)

Catalog

    Article Metrics

    Article views (834) PDF downloads (38) Cited by(1)
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return
    x Close Forever Close