1996 Volume 10 Issue 4 Pages 534-538
A 20-year-old woman was admitted to our hospital, complaining of recurrent massive hemoptysis which was estimated to be more than 1000 ml. Her chest X-rays and computed tomography showed a ball-like consolidation within a cavity in the left upper lobe. Digital subtraction angiography (DSA) showed abnormal feeding arteries from her thyro-cervical artery and superior intercostal artery. First we performed embolization of these feeding arteries. Before hemoptysis could recur, left upper segmentectomy was performed for a preoperative diagnosis of pulmonary aspergillosis. The histological examination demonstrated a foreign body, a fragment of a chopstick, which penetrated the chest wall. We conjectured that she had been injured more than ten years earlier. She was discharged on the 11th postoperative day.