Image in medicine
Massive hemoptysis due to pulmonary tuberculosis
Hemoptisis masiva y tuberculosis pulmonar
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"email" => array:1 [ 0 => "edwin.suarez@quironsalud.es" ] "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Department of Internal Medicine, Universidad de Antioquia, Colombia" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Department of Radiology, Hospital Universitario Fundación Jiménez Díaz, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Department of Hematology, Hospital Universitario Fundación Jiménez Díaz, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Hemoptisis masiva y tuberculosis pulmonar" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 576 "Ancho" => 1755 "Tamanyo" => 153099 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 19-year-old Colombian man, with history of drug abuse (cannabis and crack) and recent diagnose of pulmonary tuberculosis, presented to the emergency department with massive hemoptysis after presumptive bronchial aspiration in the context of drug overdose. Contrast-enhanced CT scan of thorax was immediately performed and showed hyperdense lesion inside a cavity in the upper segment of the left lower lobe associated with tree-in-bud pattern (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>: Panel A, B; Panel A, arrow). The angiography with three-dimensional reconstruction demonstrated left pulmonary artery aneurysm inside a tuberculosis cavity (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>: Panel C). Selective embolization of the aneurysm was successfully performed, and the hemoptysis resolved. Rasmussen's pseudoaneurysm is an uncommon complication of pulmonary tuberculosis, usually manifests as life-threatening hemoptysis (from rupture of a dilated vessel in the wall of an old cavity) and portends a high mortality. CT angiography is the imaging study of choice to confirm the diagnosis and simultaneously plan the therapeutic intervention.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 576 "Ancho" => 1755 "Tamanyo" => 153099 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000015800000004/v1_202202170636/S2387020622000493/v1_202202170636/en/main.assets" "Apartado" => array:4 [ "identificador" => "51820" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in medicine" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23870206/0000015800000004/v1_202202170636/S2387020622000493/v1_202202170636/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020622000493?idApp=UINPBA00004N" ]
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