Bronchial Varices in a Patient with Behçet's diasese: A Case Report

• Published in: Kosin Medical Journal (Online) Vol. 32; no. 1; pp. 99 - 104
• Main Authors: Song, Joon Cheol, Park, Bo Geun, Jeong, Chai Ho, Kang, Hye Seon, Ahn, Joong Hyun, Kim, Ju Sang
• Format: Journal Article
• Language: English
• Published: Kosin University College of Medicine 01.06.2017; 고신대학교 의과대학 학술지
• Subjects: behçet's disease; bronchoscopy; superior vena cava syndrome; 의학일반
• ISSN: 2005-9531; 2586-7024
• DOI: 10.7180/kmj.2017.32.1.99

We report a case of a 65-year-old man with Behcet's disease who presented with massive hemoptysis caused by bronchial varices. A computed tomography (CT) scan and bronchoscopy were performed to identify the bleeding site. The CT scan revealed pneumonia and a combined hemorrhage in the right-middle and lower lobes. Massive bleeding was detected during the bronchoscopy and emergency embolization was attempted but angiographic findings were normal. An anteriojugulo-right femoral bypass operation was performed to relieve the tortuous and hypertrophied jugular venous obstruction. However, thrombectomy and thrombolysis followed because of graft thrombosis six days post-surgery. The patient was treated with steroid and high-dose cyclophosphamide therapy for his Behçet's disease, which caused the venous obstructions; the saccular bronchial varices in the right-middle and right lower lobes on bronchoscopy regressed slightly after four cycles of cyclophosphamide therapy