Behçet's disease presenting with massive hemoptysis related to bronchovascular fistula: A case report

Mehmet Ali Bedirhan

doi:10.5606/tgkdc.dergisi.2021.19487

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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