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Volume 14 Issue 3
May  2023
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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
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A Case Report of Thoracic Enhanced Chest CT Combined with Endobronchial Ultrasound for the Diagnosis of Asymptomatic Bronchial Dieulafoy's Disease

  • 1.

    Department of Pulmonary and Critical Care Medicine, Peking Union Medical College Hospital, Chines. emy of Medical Sciences & Peking Union Medical College, Beijing 100730, China

  • 2.

    Department of Pulmonary and Critical Care Medicine, Xiamen Haicang Hospital, Xiamen, Fujian 361026, China

  • 3.

    Department of Pulmonary and Critical Care Medicine, First People's Hospital of Jingzhou, Jingzhou, Hubei 434000, China

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
    Graphical Abstract
    • Abstract
  • 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.
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    • References (21)
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