Aortobronşial Fistüle Bağlı Masif Hemoptizi Nedeniyle Ölüm: Olgu Sunumu

Death was attributed to massive hemoptysis and blood aspiration due to aortobronchial fistula.A feedback system, towards healthcare centers, based on autopsy findings and exact cause and mechanisms of death will contribute improvement of diagnosis and treatment approach

📌 3 Key Takeaways

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Objective & Hypothesis:Aortobronchial fistulas are relatively rare but usually fatal if not treated since they might cause massive hemoptysis.

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Key Findings & Data:Here we present a case of death of a 17-year-old male due to massive hemoptysis secondary to aortobronchial fistula.

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Conclusion & Impact:Death was attributed to massive hemoptysis and blood aspiration due to aortobronchial fistula.A feedback system, towards healthcare centers, based on autopsy findings and exact cause and mechanisms of death will contribute improvement of diagnosis and treatment approach

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Domain Parameters

Abstract

Aortobronchial fistulas are relatively rare but usually fatal if not treated since they might cause massive hemoptysis. Here we present a case of death of a 17-year-old male due to massive hemoptysis secondary to aortobronchial fistula. The deceased was firstly admitted to an emergency department with dyspnea, tachypnea, tachycardia, resistant metabolic acidosis, confusion, and somnolence. He was diagnosed with "diabetic ketoacidosis" following examinations; however, detailed radiological and clinical investigations revealed community-acquired infection findings and medical treatment was started accordingly. He was discharged after 15 days of hospitalization; however, he died unexpectedly 12 days after discharge.At autopsy a 4-cm aortobronchial fistula was found between the thoracic aortic wall and the left main bronchus. Histopathological examination of fistula showed diffuse and intense necro-inflammatory reaction and inflammatory response with polymorphonuclear leukocytes and necrosis. Death was attributed to massive hemoptysis and blood aspiration due to aortobronchial fistula.A feedback system, towards healthcare centers, based on autopsy findings and exact cause and mechanisms of death will contribute improvement of diagnosis and treatment approach

Özet

Aortobronşial fistül (ABF) nadir görülen ve tedavi edilmediğinde sıklıkla masif hemoptizi nedeniyle ölüme neden olan bir durumdur. Bu makalede 17 yaşında ABF'ye bağlı gelişen masif hemoptizi nedeniyle ölen bir olgu sunulmuştur.Olgumuz acil servise ilk olarak dispne, takipne, taşikardi, tedaviye dirençli metabolik asidoz, konfüzyon ve somnolans bulguları ile başvurmuştur. Yapılan incelemeler sonrasında "diabetik ketoasidoz" tanısı konulmuştur. Yapılan radyolojik ve klinik incelemeler sonucunda "toplumsal kaynaklı enfeksiyon" mevcut olduğu anlaşılmış ve tedavi başlanmıştır. Onbeş gün hastanede tedavi edilmiş ve taburcu edildikten 12 gün sonrasında öldüğü bildirilmiştir.Otopside torasik aorta ile sol ana bronş arasında 4 cm uzunluğunda bir ABF tespit edilmiştir. Histopatolojik incelemede ABF'de polimorfonükleer lökositler ve nekroz ile birlikte diffüz ve yoğun nekro-inflamatuar reaksiyon saptanmıştır. Ölüm nedeni "ABF'ye bağlı massif hemoptizi ve kan aspirasyonu" olarak belirlenmiştir.Otopside saptanan ölüm nedenlerinin, oluşturulacak "geri bildirim mekanizması" ile ilgili sağlık kuruluşlarına bildirilmesinin, tanı ve tedavi yaklaşımları açısından fayda sağlayacağı düşünülmüştür

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Cite This Article

ÖZSOY, S., ALKAN, H. A., PEHLİVAN, S., GÖKMEN, A., AKÇAN, R., ALKAN, M. (2016). Aortobronşial Fistüle Bağlı Masif Hemoptizi Nedeniyle Ölüm: Olgu Sunumu. Adli Tıp Bülteni, Cilt: 21 - Sayı: 1, 43–46. https://ajindex.com/articles/151261

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