Pulmonary Artery Aneurysm-Related Fatal Hemoptysis in Behcet's Disease: A Case Report with Literature Review

Main Article Content

Fahmi H. Kakamad
Shorsh A. Mohammed
Soran H. Tahir
Rezheen Jamal
Dana H. Baqi
Dlsoz M. Hussein
Bnar J. Hama Amin
Razhan K. Ali
Rawezh Qadir M. Salih

Keywords

Behcet's disease, hemoptysis, pulmonary artery aneurysm

Abstract

Introduction


Behcet's disease is a multisystemic disorder of unknown etiology. Vascular involvement is identified by the development of aneurysms and occlusion of the vessels. The current report aimed to discuss a case of Behcet disease presented with a bilateral pulmonary aneurysm.


Case presentation


A 41-year-old woman presented with recurrent attacks of hemoptysis for two years. A chest computed tomography scan revealed bilateral pulmonary artery aneurysm. Repeated bronchoscopy showed bleeding from the right lower lobe bronchus. She underwent a right-side thoracotomy with a right lower lobectomy. She was scheduled for left-side intervention as well.  Before discharge, she was seen by a rheumatologist and was diagnosed with a case of Behcet disease. She developed attacks of massive hemoptysis (huge and bright blood) after two weeks which led to her passing away.


Conclusion


Although it is rare, Behcet disease could involve major arteries and lead to fatal complications. Surgical intervention remained a viable option for the management.

Abstract 212 | PDF Downloads 27

References

1. Chae EJ, Do K-H, Seo JB, Park SH, Kang J-W, Jang YM, et al. Radiologic and clinical findings of Behçet disease: comprehensive review of multisystemic involvement. Radiographics. 2008;28(5):e31. doi:10.1148/rg.e31
2. Gupta M, Agrawal A, Iakovou A, Cohen S, Shah R, Talwar A. Pulmonary artery aneurysm: a review. Pulmonary Circulation. 2020;10(1):2045894020908780. doi:10.1177/2045894020908780
3. Cohle SD, Colby T. Fatal hemoptysis from Behcet's disease in a child. Cardiovascular pathology. 2002;11(5):296-9.
doi:10.1016/S1054-8807(02)00117-5
4. Gouëffic Y, Pistorius M-A, Heymann M-F, Chaillou P, Patra P. Association of aneurysmal and occlusive lesions in Behçet’s disease. Annals of vascular surgery. 2005;19(2):276-9. doi:10.1007/s10016-004-0179-2
5. Gebitekin C, Yılmaz M, Şenkaya I, Saba D, Sağdıç K, Özer G. Fatal haemoptysis due to pulmonary artery aneurysm in Behçet's disease. 1997. doi:10.1016/S1078-5884(97)80027-5
6. Tüzün H, Hamuryudan V, Yildirim S, Beşirli K, Yörük Y, Yurdakul S, et al. Surgical therapy of pulmonary arterial aneurysms in Behçet's syndrome. The Annals of thoracic surgery. 1996;61(2):733-5. doi:N/A
7. Kalko Y, Basaran M, Aydin U, Kafa U, Basaranoglu G, Yasar T. The surgical treatment of arterial aneurysms in Behçet disease: a report of 16 patients. Journal of Vascular Surgery. 2005;42(4):673-7. doi:10.1016/j.jvs.2005.05.057
8. Secrets t. Behçet’s disease and cogan’s syndrome. Rheumatology Secrets E-Book. 2014:248. doi:N/A