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Case report
Management of an unusual cause of life-threatening haemoptysis: a multidisciplinary approach
  1. Kim Pramanik1,
  2. Philip Webb2 and
  3. RanaShoaib Hamid3
  1. 1Emergency Department, East Lancashire Hospitals NHS Trust, Blackburn, UK
  2. 2Respiratory Medicine, East Lancashire Hospitals NHS Trust, Blackburn, UK
  3. 3Interventional Radiology, East Lancashire Hospitals NHS Trust, Blackburn, UK
  1. Correspondence to Dr Kim Pramanik; kimpramanik{at}doctors.org.uk

Abstract

We present to you a case of life-threatening haemoptysis secondary to non-cystic fibrosis bronchiectasis complicated by bronchial artery pseudoaneurysms. We discuss this patient’s emergency medical management using intravenous tranexamic acid, which resulted in successful resuscitation and eventual survival, and evaluate the need for urgent anaesthetic and interventional radiology input in such a case.

  • respiratory system
  • resuscitation
  • interventional radiology

https://doi.org/10.1136/bcr-2020-240448

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    Footnotes

    • Contributors KP contributed to writing the body of the case report, learning points and editing. PW contributed to reviewing and writing the treatment and discussion. RSH contributed to preparing the photos and captions. KP and PW reviewed the literature around the subject. All authors were directly involved in the care of the patient. PW has co-first author credit - KP.

    • 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.

    • Competing interests None declared.

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