Abstract:
BACKGROUND:Haemoptysis is an uncommon presenting symptom in children and is usually caused by acute lower respiratory tract infection or foreign body aspiration. We report a rare case of right unilateral pulmonary vein atresia (PVA) as the underlying aetiology of recurrent haemoptysis in a child. CASE PRESENTATION:A 4 years old girl presented with history of recurrent haemoptysis. Bronchoscopic evaluation excluded a foreign body aspiration but revealed right bronchial mucosal hyperaemia and varices. Diagnosis of right unilateral PVA was suspected on transthoracic echocardiography which demonstrated hypoplastic right pulmonary artery and non-visualization of right pulmonary veins. Final diagnosis was confirmed on cardiac CT angiography. A conservative treatment approach was opted with consideration for pneumonectomy in future when she is older. CONCLUSION:Rarer causes should be considered when investigating for recurrent haemoptysis in children. Bronchoscopy and cardiac imaging are useful tools to establish the diagnosis of unilateral PVA in our case.
journal_name
BMC Pediatrjournal_title
BMC pediatricsauthors
Wong MNL,Tang IP,Chor YK,Lau KS,John AR,Hii KC,Lee OPY,Lim WK,Tan HPKdoi
10.1186/s12887-020-02348-7subject
Has Abstractpub_date
2020-09-24 00:00:00pages
448issue
1issn
1471-2431pii
10.1186/s12887-020-02348-7journal_volume
20pub_type
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