A case of primary racemose hemangioma with endobronchial lesions demonstrating recurrent hemoptysis initially treated with bronchial arterial embolization

Shun Imai; Hajime Kasai; Toshihiko Sugiura; Jun Nagata; Takahide Toyoda; Shunya Shiohira; Kohei Shikano; Chiaki Kawame; Yusuke Kouchi; Masayuki Ota; Mitsuhiro Abe; Hidemi Suzuki; Jun-Ichiro Ikeda; Ichiro Yoshino; Takuji Suzuki

doi:10.1016/j.rmcr.2022.101762

A case of primary racemose hemangioma with endobronchial lesions demonstrating recurrent hemoptysis initially treated with bronchial arterial embolization

Respir Med Case Rep. 2022 Oct 25:40:101762. doi: 10.1016/j.rmcr.2022.101762. eCollection 2022.

Authors

Shun Imai¹, Hajime Kasai^{1

2}, Toshihiko Sugiura¹, Jun Nagata¹, Takahide Toyoda³, Shunya Shiohira⁴, Kohei Shikano¹, Chiaki Kawame¹, Yusuke Kouchi^{5

6}, Masayuki Ota⁷, Mitsuhiro Abe¹, Hidemi Suzuki³, Jun-Ichiro Ikeda^{5

7}, Ichiro Yoshino³, Takuji Suzuki¹

Affiliations

¹ Department of Respirology, Graduate School of Medicine, Chiba University, Chiba, 260-8670, Japan.
² Health Professional Development Center, Chiba University Hospital, Chiba, 260-8677, Japan.
³ Department of General Thoracic Surgery, Graduate School of Medicine, Chiba University, Chiba, 260-8670, Japan.
⁴ Department of Medicine, School of Medicine, Chiba University, Chiba, 260-8670, Japan.
⁵ Department of Pathology, Chiba University Hospital, Chiba, 260-8677, Japan.
⁶ Department of Molecular Pathology, Graduate School of Medicine, Chiba University, Chiba, 260-8670, Japan.
⁷ Department of Diagnostic Pathology, Graduate School of Medicine, Chiba University, Chiba, 260-8670, Japan.

Abstract

Primary racemose hemangioma of the bronchial artery (RHBA) is one of the causes of massive hemoptysis. A 72-year-old woman was admitted to our hospital with recurrent hemoptysis. Bronchoscopy showed an endobronchial lesion, and the angiography of the right bronchial arteries indicated RHBA. Bronchial arterial embolization (BAE) was performed to prevent hemoptysis. Although the endobronchial lesion shrank after the first BAE, the lesion re-increased and caused massive hemoptysis. A thoracoscopic right upper lobectomy was performed, and hemoptysis did not recur. Therefore, in cases of RHBA where there is recurrent hemoptysis and the endobronchial lesions that remain after BAE, additional treatments should be considered.

Keywords: Bronchial arterial embolization (BAE); Endobronchial lesion; Primary racemose hemangioma; Recurrent hemoptysis.

Publication types

Case Reports