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Dieulafoy’s Disease of the Bronchus in Association With a Paravertebral Neurilemoma*

Enrique Stoopen, MD; Javier Baquera-Heredia, MD; Diana Cortes; Leon Green, MD, FCCP
Chest. 2001;119(1):292-294. doi:10.1378/chest.119.1.292
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Dieulafoy’s disease is a vascular anomaly characterized by the presence of a dysplastic artery that is related to an epithelial ulcer. While it is most frequently a GI condition, occurrence in the bronchus has been reported previously in six cases. We present the case of a 51-year-old man with severe hemoptysis and epistaxis. Chest radiographs showed diffuse density in the right base and a mass in the pedicle of T4. The results of bronchoscopy corroborated an active arterial bleeding point in the bronchus of the right middle lobe. A middle and lower lobectomy was performed with resection of the paravertebral mass. The final diagnoses were bronchial Dieulafoy’s disease and paravertebral neurilemoma.

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