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Varicosities of the Valleculae*: An Unusual Cause of Hemoptysis?

Richard Booton, MRCP; Badie K. Jacob, MD, FCCP
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*From the Department of Respiratory Services, Bradford Royal Infirmary, Bradford Hospitals NHS Trust, Bradford, West Yorkshire, UK.

Correspondence to: Badie K. Jacob, MD, FCCP, Consultant Chest Physician and Chief of Respiratory Services, Bradford Royal Infirmary, Bradford Hospitals NHS Trust, Duckworth Lane, Bradford, West Yorkshire BD9 6RJ, UK



Chest. 2002;121(1):291-292. doi:10.1378/chest.121.1.291
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Hemoptysis is a common respiratory symptom causing a great deal of anxiety. The cause is often apparent following a clinical history, upper-airway examination, bronchoscopy, and CT scanning of the thorax. We present a case of massive hemoptysis, the etiology of which was not readily apparent despite this conventional approach. Vallecular hemorrhage has been previously reported but is usually minor unless associated with surgical trauma, and can be readily missed if not aware of the possibility. We speculate about the etiology and mechanism for recurrent hemorrhage.


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