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2000
Volume 21, Issue 1
  • ISSN: 1573-4056
  • E-ISSN: 1875-6603
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Abstract

Background

Hematemesis 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 16th day without complications.

Conclusion

Ruptured 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.

© 2025 The Author(s). Published by Bentham Science Publishers.
This is an open access article published under CC BY 4.0 https://creativecommons.org/licenses/by/4.0/legalcode
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2025-07-07
2025-09-20

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Transcatheter Arterial Embolization of a Ruptured Bronchial Artery Aneurysm Presenting as Hematemesis: A Case Report
Curr. Med. Imaging 21, E15734056372341 (2025); https://doi.org/10.2174/0115734056372341250628185446
/content/journals/cmir/10.2174/0115734056372341250628185446
/content/journals/cmir/10.2174/0115734056372341250628185446
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  • Article Type:     Case Report
Keyword(s): bronchial arteries; esophageal fistula; gastrointestinal hemorrhage; Hematemesis; ruptured aneurysm; therapeutic embolization

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