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Case Reports: Novel treatment (new drug/interventions; established drug/procedure in new situation)
Glue ablation of Rasmussen’s aneurysm in a case of epituberculosis
  1. Tushar Ramesh Sahasrabudhe1,
  2. Sona Mohan1,
  3. Sambhaji Kantrao Pawal2 and
  4. Shailesh Bhanudas Meshram1
  1. 1Respiratory Medicine, Dr D Y Patil Medical College, Hospital and Research center, Dr D Y Patil Vidyapeeth, Pimpri, Pune, Maharashtra, India
  2. 2Interventional Radiology, Dr D Y Patil Medical College, Hospital and Research Center, Dr D Y Patil Vidyapeeth, Pimpri, Pune, Maharashtra, India
  1. Correspondence to Professor Tushar Ramesh Sahasrabudhe; dr_tushar_s{at}yahoo.co.in

Abstract

A woman in her 40s presented with massive haemoptysis and breathlessness for 1 day. She had been diagnosed with pulmonary tuberculosis based on sputum CBNAAT (Cartridge Based Nucleic Acid Amplification Test) and was on antitubercular treatment for previous 2 weeks. Her chest X-ray showed right middle lobe lateral segment dense consolidation with bilateral nodular infiltrates. CT pulmonary angiography (CTPA) revealed a well-defined homogenously enhancing vascular lesion of size 10×11×13 mm in the right hilar region communicating with the descending branch of right pulmonary artery, suggesting a Rasmussen’s aneurysm. It was in close proximity to the segmental bronchus that was almost completely occluded, suggesting epituberculosis. Transvenous pulmonary artery glue embolisation successfully achieved complete ablation of the aneurysm with preserved arterial flow. She has later completed 6 months of antitubercular treatment and is cured with no recurrence of haemoptysis. Her lung infiltrates have resolved with some lung scarring.

  • Respiratory system
  • TB and other respiratory infections
  • Interventional radiology
  • Tuberculosis

https://doi.org/10.1136/bcr-2022-253372

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    Footnotes

    • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content: TRS, SM, SKP and SBM. The following author gave final approval of the manuscript: TRS.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.