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An Interesting and Unusual Cause of Hemoptysis
An Interesting and Unusual Cause of Hemoptysis" Ajit Singh. M.D.• F.C.CP .,·· Bolwont Singh, M.B.. M.S.t and Pirthipal Singh. M.B.t
Keclllftllt, massive hemoptysis secoadary to • migrating fore!gD body (a Stelnmon's pin) fOUDd embedded In the Ionc parenchyma, Is p..-ated. Prompt SDI'Iic:al intervention helped this patient,
B
lood .tinged expectoration or frank hemoptysis. sometimes massive, occas ionally in recurrent bouts , is due to many causes. This usually represents chest disease
or cardiovascular system involvement. However, ocea-
sion ally an interesting cause of hemoptysis is seen which ma y balRe the clinicians in the correct diagnosis.
CASE REPoRT A 5O-year-
d isplacement.
presented himself with comexpectoration and recurrent Fifreen years earlier. a Steinthe right shoulder following
FrotJIIE 2 vertebrae . Three months follow-up after surgery showed no further difficulty.
Clinical examination gave essentially negative Bndings. Routine investigations did not reveal any abnormality. Sputum exam ination for acid-fast ~ pyogenic organisms and malignant cells was negative. Skiagram of the chest (Fig 1 and 2) revealed a long pin in upper right chest. Surgical exploration showed a Steinman's pin in the lung parenchyma with its lower end penetrating one of the dorsal
CoMMENTS Hemoptysis is a symptom which declares itself in a spectacular manner. An erroneous diagnosis of pulmonary tuberculosis. bronchial growth. etc may be made. unless otherwise proved. Hemoptysis per Be has no prognostic signillcance. nor does a large hemorrhage necessarily augur ill . This prompted us to present a short resume of such a case.
"From the Department of Clinical Medicine. Medical Col.
lege. and V. J. Hospital, Amrttsar, Punjab. India. •• Acting Professor of Clinical Medicine.
tProfessor of Clinical Surgery. tAssislanl Medical Officer. Department of Clinical Medicine. ~~.b~ Dr. A. Singh. 4-RaceCoone Road.Am_.
ACKNOWLEDGMENT: We are grateful to departments of blood transfusion, radiology and I?'lthology for their kind
;::J;:m'
cooperation in the management of this case .
FIGURE 1
339
Keclllftllt, massive hemoptysis secoadary to • migrating fore!gD body (a Stelnmon's pin) fOUDd embedded In the Ionc parenchyma, Is p..-ated. Prompt SDI'Iic:al intervention helped this patient,
B
lood .tinged expectoration or frank hemoptysis. sometimes massive, occas ionally in recurrent bouts , is due to many causes. This usually represents chest disease
or cardiovascular system involvement. However, ocea-
sion ally an interesting cause of hemoptysis is seen which ma y balRe the clinicians in the correct diagnosis.
CASE REPoRT A 5O-year-
d isplacement.
presented himself with comexpectoration and recurrent Fifreen years earlier. a Steinthe right shoulder following
FrotJIIE 2 vertebrae . Three months follow-up after surgery showed no further difficulty.
Clinical examination gave essentially negative Bndings. Routine investigations did not reveal any abnormality. Sputum exam ination for acid-fast ~ pyogenic organisms and malignant cells was negative. Skiagram of the chest (Fig 1 and 2) revealed a long pin in upper right chest. Surgical exploration showed a Steinman's pin in the lung parenchyma with its lower end penetrating one of the dorsal
CoMMENTS Hemoptysis is a symptom which declares itself in a spectacular manner. An erroneous diagnosis of pulmonary tuberculosis. bronchial growth. etc may be made. unless otherwise proved. Hemoptysis per Be has no prognostic signillcance. nor does a large hemorrhage necessarily augur ill . This prompted us to present a short resume of such a case.
"From the Department of Clinical Medicine. Medical Col.
lege. and V. J. Hospital, Amrttsar, Punjab. India. •• Acting Professor of Clinical Medicine.
tProfessor of Clinical Surgery. tAssislanl Medical Officer. Department of Clinical Medicine. ~~.b~ Dr. A. Singh. 4-RaceCoone Road.Am_.
ACKNOWLEDGMENT: We are grateful to departments of blood transfusion, radiology and I?'lthology for their kind
;::J;:m'
cooperation in the management of this case .
FIGURE 1
339