Academic Journal

Cystic fibrosis with multiple pulmonary arteriovenous malformations: A case report

التفاصيل البيبلوغرافية
العنوان: Cystic fibrosis with multiple pulmonary arteriovenous malformations: A case report
المؤلفون: Orito Ikeda, MD, Kunihiko Shimizu, MD, Yoshitake Yamada, PhD, Hiroaki Sugiura, MD, Hideaki Suzuki, MD, Syuichiro Umetsu, MD, Kozo Sato, MD, Masahiro Jinzaki, PhD
المصدر: Radiology Case Reports, Vol 18, Iss 3, Pp 1033-1036 (2023)
بيانات النشر: Elsevier, 2023.
سنة النشر: 2023
المجموعة: LCC:Medical physics. Medical radiology. Nuclear medicine
مصطلحات موضوعية: Cystic fibrosis, Pulmonary arteriovenous malformations, Hypoxemia, Dynamic CT, Medical physics. Medical radiology. Nuclear medicine, R895-920
الوصف: Cystic fibrosis is an autosomal recessive genetic disorder that damages the exocrine function of the body, resulting in alterations of multiple organs. In the respiratory system, it is known to cause bronchiectasis, recurrent bronchitis, and pneumonia; however, to the best of our knowledge, there are no reported cases of pulmonary arteriovenous malformations associated with this disease. Herein, we report a case of cystic fibrosis with multiple pulmonary arteriovenous malformations. A 16-year-old girl, who has been monitored since childhood for pancreatitis of unknown cause, experienced respiratory symptoms and hypoxemia (PaO2 = 57 mmHg). At 13 years of age, chest computed tomography revealed bronchiectasis, bronchial wall thickening, and tree-in-bud sign. Genetic testing was performed, and the patient was diagnosed with cystic fibrosis. However, the computed tomography scan also showed incidental nodular lesions in the left superior and both the inferior pulmonary lobes, suggesting multiple arteriovenous malformations. Dynamic computed tomography was performed which, confirmed the presence of 3 pulmonary arteriovenous malformations. Coil embolization was performed on all lesions, and the hypoxemia was corrected. Marked hypoxemia in a patient with cystic fibrosis may not be explained only by the presence of bronchiectasis and/or bronchial wall thickening; in such cases, it may be necessary to examine possible additional findings on computed tomography images, such as arteriovenous malformations.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 1930-0433
Relation: http://www.sciencedirect.com/science/article/pii/S1930043322010925; https://doaj.org/toc/1930-0433
DOI: 10.1016/j.radcr.2022.12.024
URL الوصول: https://doaj.org/article/e7db19cb7cc343a38bfed863d8d645b2
رقم الانضمام: edsdoj.7db19cb7cc343a38bfed863d8d645b2
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:19300433
DOI:10.1016/j.radcr.2022.12.024