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Cho, Ra, Lee, Lee, Kang, Gwon, and Oh: A Case of Total Lung Collapse due to Hemoptysis in Pregnancy
Case Report
Tuberculosis and Respiratory Diseases

Tuberculosis and Respiratory Diseases 2008; 65(1): 34-36.

Published online: 31 July 2008

DOI: https://doi.org/10.4046/trd.2008.65.1.34

A Case of Total Lung Collapse due to Hemoptysis in Pregnancy

Jung Je Cho, M.D.1, Seung Won Ra, M.D.2, Kwang Ha Lee, M.D.2, Jung A Lee, M.D.3, Chae Hoon Kang, M.D.4, Dong Il Gwon, M.D.4, Yeon-Mok Oh, M.D.2

1Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

2Department of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

3Department of Family Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

4Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Address for correspondence: Yeon-Mok Oh, M.D. Department of Pulmonary and Critical Care Medicine and Clinical Research Center for Chronic Obstructive Airway Diseases, Asan Medical Center, University of Ulsan College of Medicine, 388-1, Pungnap 2-dong, Songpa-gu, Seoul 138-736, Korea. Phone: 82-2-3010-3136, Fax: 82-2-3010-6968, ymoh55@amc.seoul.kr

Received 9 June 2008       Accepted 25 June 2008

Copyright © 2008 The Korean Academy of Tuberculosis and Respiratory Diseases

Abstract

Pregnancy induces many physiologic changes, and it can cause hemoptysis in relation to the underlying or potential pulmonary diseases. Although hemoptysis is not a frequent event during pregnancy, a thorough search for its etiology and then immediate management should be initiated for a case of massive hemoptysis to avoid serious adverse effects on both the fetus and the mother. Most hemoptysis events during pregnancy are related to well known etiologies, but there are a few reported cases of hemoptysis in pregnant women who are without any underlying lung lesion. We report here on a case of a pregnant woman with total lung collapse due to hemoptysis, and a thorough search for the etiology after delivery could not reveal any etiology.

Keywords: Pregnancy, Hemoptysis, Lung collapse

Figures and Tables

Figure 1
Total collapse of right lung due to hemoptysis in pregnant patient.
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Figure 2
Tortuous right bronchial artery (black Arrow) making shunt (white arrow) to right pulmonary artery (arrowhead) was seen in right lower lung zone. Lesion was embolized with gelfoam through a microcatheter.
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Figure 3
Bronchoscopic findings during hemoptysis and 3 weeks after delivery (A, B). Right main bronchus was obstructed by blood clot (A) which was removed by bronchoscopic suction (B). No evidence of blood or endobronchial lesion was observed after delivery (C).
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