ArticleCurrent medical imaging2025
Transcatheter Arterial Embolization of a Ruptured Bronchial Artery Aneurysm Presenting as Hematemesis: A Case Report.
Article in Current medical imaging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundHematemesis is a rare manifestation of a bronchial artery aneurysm (BAA), as bleeding from a ruptured BAA typically occurs into the bronchial tree, leading to hemoptysis rather than gastrointestinal bleeding. CASE PRESENTATIONS: A 71-year-old male presented to the emergency department with syncope and hematemesis. Computed tomography angiography (CTA) revealed a ruptured bronchial artery aneurysm in the posterior mediastinum, with contrast extravasation into the lower esophagus. The patient underwent transcatheter arterial embolization (TAE) using coils, a mixture of N-butyl cyanoacrylate and ethiodized oil. However, due to persistent bleeding signs and recanalization observed on follow-up CTA, a second TAE was performed the following day using the same technique. Hemostasis was achieved, and the patient recovered well, being discharged on the 16
conclusionRuptured BAA presenting as hematemesis is extremely rare, making it difficult to diagnose. Prompt diagnosis with CTA and timely intervention, such as TAE, can be important in achieving favorable outcomes and preventing life-threatening complications.
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