Title: Pulmonary Arterio-Venous Malformation (PVAM) Presenting as Recurrent Hemoptysis
Authors: Mohd Yousoof Dar, B K Menon, Sarfaraz Jamal
DOI: https://dx.doi.org/10.18535/jmscr/v5i9.86
Abstract
17 years old non-smoker male farmer presented with complaints of recurrent non massive hemoptysis for last 1year with past history revealing history of un-noticed blunt trauma to right lower chest two years back. Family evaluation was non-revealing and treatment history was intake of ATT (anti-tubercular treatment) with no response. Systemic examination revealed no significant abnormality. Investigations showed-normal renal profile, liver function, Coagulation profile, ANA and also bronchoscopy were non-revealing. Radiograph chest showed a radio-opaque shadow in right lower zone, which on CT(computerized tomography) pulmonary angiography revealed to a large PAVM(pulmonaryarterio-venous malformation) in Lower lobe right of lung. This case illustrates that how a common pulmonary symptom of hemoptysis can be presenting manifestation of a rare pulmonary condition known as PVAM and possibly blunt trauma to chest was the cause of this rare condition in our case.
Key words: PVAM-pulmonary arterio-venous malformation.
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