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Hemoptysis: contribution of the
Computed tomography (CT)
Protocol of the CT :
–Scan (64 cuts).
–Flow: 2cc/s.
–Fine cuts: 0,6 -1mm
–Single acquisition.
–Late passage if suspicion of extravasation
• The angio CT-scan multi-cuts permitted to
specify:
-Localization.
-The mechanism.
-The cause.
-To assess the locoregional extension in
case of bronchopulmonary neoplasy.
RESULTS:
• The mean age was : 58 years ( 30 – 86).
• 32males and 8 females
• 71% smokers
RESULTS
• ETIOLOGY:
- Neoplasy: 25%
- Pulmonary embolism : 5%
- tuberculosis: 37,5%
- Aspergillosis : 5%
- Bronchogenic cyst : 2,5%
- Pulmonary artery aneurysm : 2,5%
- Bronchial dilatation : 22,5%
ETIOLOGY:
• the chest radiography was normal in 10% and
the CT was diagnostic in 77%, including 4
cases with a normal chest radiography.
• 3 Hsiao EI, Kirsch CM, Kagawa FT, Wehner JH, Jensen WA, Baxter
RB (2001) Utility of fiberoptic bronchoscopy before bronchial artery
embolization for massive hemoptysis. AJR 177:861-867.