2016 Volume 38 Issue 6 Pages 510-514
Background. Racemose hemangioma of the bronchial artery is a rare disease that is associated with congenital malformations of the bronchial artery and is characterized by enlarged and convoluted bronchial arteries. Case. A 66-year-old woman, without any specific symptoms, consulted our hospital because of an abnormal shadow on gastrointestinal radiography at an annual health examination. Chest computed tomography showed an enlarged and convoluted right bronchial artery. Bronchial arteriography revealed a tortuous and dilated right bronchial artery, with shunt formation to the right pulmonary artery at the level of the lower lobe bronchus and an aneurysm in the periphery. A bronchoscopic examination showed dusky-red elevated lesions in the right main bronchus, and the superior, middle, and inferior lobar branches. Additionally, narrow band imaging bronchoscopy revealed green pulsatile lesions. Based on these findings, she was diagnosed with primary racemose hemangioma of the bronchial artery, and the right bronchial artery was surgically ligated and excised, while carefully considering the risk of hemoptysis. Conclusion. In the present report, we described a case of primary racemose hemangioma of the bronchial artery detected on gastrointestinal radiography.