ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Behçet's disease presenting with massive hemoptysis related to bronchovascular fistula: A case report
Mehmet Ali Bedirhan1, Naciye Arda2, Elif Tanrıverdi3, Volkan Yaran1, Deniz Sansar1, Levent Cansever1
1Department of Thoracic Surgery, Yedikule Chest and Diseases and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey
2Department of Pathology, Yedikule Chest and Diseases and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey
3Department of Chest Diseases, Yedikule Chest and Diseases and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey
DOI : 10.5606/tgkdc.dergisi.2021.19487
A 37-year-old male patient was admitted to our hospital with recurrent hemoptysis, 50 mL per day. Thoracic computed tomography showed no pathology responsible for hemoptysis. Bronchoscopy revealed mucosal infiltrations and 2 to 3-mm blotch in the lateral wall of the right lower lobe. After punch biopsy of the suspected area, massive bleeding occurred. Right lower bilobectomy was performed urgently. A bronchovascular fistula was noticed at the specimen. Pathological examination result was compatible with clinically suspected Behçet"s disease. The patient was given high-dose steroid and cyclophosphamide treatment and received azathioprine maintenance treatment for 18 months. He has been symptom-free for three-year follow-up.
Keywords : Behçet
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