Abstract
Background. Stenting for hemoptysis without bronchial stenosis is rare. Case. A 70-year-old man was diagnosed with same-lobe metastasis and lymph node metastasis 6 years after right S2 lung segmentectomy in 2007 for primary lung cancer. Hemoptysis developed due to radiotherapy for brain metastasis. Computed tomography showed a large tumor in the right upper lobe without exposure in the upper bronchus. Because hemoptysis did not improve after bronchial artery embolization, the right main bronchus became totally obstructed with blood coagulation 4 days later. For control of hemoptysis, a Dumon straight stent was placed from the right main bronchus to the truncus intermedius with a rigid bronchoscope. However, the straight stent migrated medially side 4 days after placement, and so we added a Y-stent in the same location with the right limb inserted into the straight stent to prevent migration. The postoperative course was uneventful, and the patient was discharged on postoperative day 3. Conclusion. Dumon stents are useful for hemoptysis without bronchial stenosis.
