Tuesday, 18 December, 2018

Man coughs up blood clot in shape of a lung

Pixabay- kalhh  New England Journal of Medicine               
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Delores Daniels | 08 December, 2018, 00:55

You might think twice about the phrase "cough up a lung" after reading this.

"His medical history included heart failure with an ejection fraction of 20 percent, bioprosthetic aortic-valve replacement for bicuspid aortic stenosis, endovascular stenting of an aortic aneurysm, and placement of a permanent pacemaker for complete heart block", the NEJM report says.

The patient had been in the intensive care unit of the University of California San Francisco Medical Center for a week with episodes of coughing up blood and mucus.

Doctors were treating him with oxygen tanks when he had the coughing fit.

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"We were astonished", pulmonary surgeon Georg Wieselthaler told The Atlantic of the clot.

"During an extreme bout of coughing, the patient spontaneously expectorated an intact cast of the right bronchial tree", the journal explained.

A 36-year-old man literally coughed up a piece of his lung after being hospitalized with heart problems at a hospital in California.

After previously coughing up other, smaller blood clots, the man let out a big one, and up came this folded-over clot in the exact shape of his right bronchial tree, one of the primary parts of the lung.

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While doctors still aren't 100 per cent sure how the clot stayed completely intact on its way up the man's throat, Dr Wieselthaler suspected it was because the man had more fibrinogen in his blood.

The 36-year-old had been admitted to hospital with heart failure, but died during his first week of treatment.

However, the article reports that he passed away one week later due to complications of heart failure.

Wieselthaler called the occurrence "very, very, very rare".

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When Wieselthaler and his team delicately spread out the clot, they discovered "that the architecture of the airways had been retained so perfectly that they were able to identify it as the right bronchial tree based exclusively on the number of branches and their alignment".

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