2025 Volume 3 Issue 2 Pages 109-112
A male patient in his 80s was referred to our institution for the evaluation and treatment of a right lung tumor; hence, a diagnostic bronchoscopy was scheduled. His previous physician had prescribed hemostatic agents for nasal bleeding and bloody sputum; however, sudden massive hemoptysis was observed during computed tomography (CT) at our hospital. Approximately a cup of blood was expectorated with rapidly declining oxygen saturation levels. The chest CT scan revealed significant hemorrhage originating from the right middle lobe lung tumor, and an emergency bronchoscopy was performed. Active bleeding from the right middle lobe bronchus was confirmed; hence, endobronchial occlusion was conducted using three silicone spigots resulting in immediate hemostasis. The patient's respiratory and circulatory status was stable, and the lung tumor was strongly suspected to be cT2aN0M0, cStage IB lung cancer; hence, a right middle lobectomy was performed the following day. The postoperative course was uneventful, and the patient was discharged on day 9 postoperatively. Endobronchial occlusion using silicone spigots originally developed for treating persistent air leak pneumothorax, fistulous pyothorax, and bronchopleural fistula, is also useful for managing life-threatening hemorrhage, potentially obviating the necessity for emergency surgery and facilitating safer surgical planning.
