Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Massive Hemoptysis with a Fungus Ball-like Shadow in an Old Tuberculosis Cavity That Was Shown to Be a Clot by Bronchoscopy
Hironori KawamotoManabu SuzukiAyako ShiozawaEriko MiyawakiShota YamamotoKonomi KobayashiJin TakasakiYuichiro TakedaMasayuki HojoHaruhito Sugiyama
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JOURNALS OPEN ACCESS

2018 Volume 57 Issue 3 Pages 377-381

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Abstract

Development of aspergilloma is common in cases with a fungus ball-like shadow in cavities due to old tuberculosis. Some reports have shown that blood clots tend to appear as a fungus ball-like shadow. A 71-year-old man with a history of pulmonary tuberculosis presented with a fungus ball-like shadow in an old cavity and hemoptysis. There was no evidence of aspergillus infection on various examinations. We confirmed a blood clot and aneurysm of an artery under direct vision by bronchoscopy. A lateral thoracic artery aneurysm was detected by angiography. Transcatheter arterial embolization was performed. After treatment, the artery aneurysm disappeared.

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© 2018 by The Japanese Society of Internal Medicine
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