Sequelae Tuberkulosis dengan Hemoptisis Rekurens

Desilia Atikawati, Isnin Anang Marhana

Abstract views = 632 times | downloads = 595 times


Background: Various sequelae and complications can occur in treated or untreated tuberculosis (TB). One of complications in  the lungs is hemoptysis, due to alterations of pulmonary vascular structure. Hemoptysis as TB sequelae can happen recurrently and  massively. Case: We present the case of 31 year old man with recurrent hemoptysis since 1 year before admitted to hospital. Patient had  a history of receiving antituberculosis drugs (ATD) before. Chest xray showed pleural thickening and opacity in right hemithorax with  signs of loss of volume. Bronchoscopy showed active bleeding in lateral segment of right lung middle lobe. Chest CT showed destroyed  right lung. Hemoptysis still existed despite the given conventional therapy, thus patient underwent pulmonary arteriography. The result  showed extensive vascular abnormality in the right lung with arteriovenous fistula on right bronchial artery and aneurysmatic branch of  superior bronchial and inner intercostal arteries. During the procedure, there was no active bleeding, so bronchial artery embolization  was adjourned. Patient then experienced recurrent and massive hemoptysis, thus right pneumonectomy was done. During the surgery,  there was uncontrolled active bleeding that caused the patient’s death. Conclusion: This case illustrates recurrent hemoptysis as one of  severe TB sequelae. In extensive pulmonary vascular abnormality, pneumonectomy can cause uncontrolled active bleeding. Bronchial  artery embolization can be used as an alternative to treat patients with recurrent homptysis.


Sequelae of TB, Recurrent hemoptysis

Full Text:



Perhimpunan Dokter Paru Indonesia. (2011). Tuberkulosis: pedoman diagnosis dan penatalaksanaan di Indonesia. Jakarta: Perhimpunan Dokter Paru Indonesia, p. 2, 16-24.

Kementrian Kesehatan Republik Indonesia. (2013). Pedoman nasional pelayanan kedokteran tatalaksana tuberkulosis. Jakarta: Kementrian Kesehatan RI, p. 8, 68-70.

Devi G. (2014). Complication of pulmonary tuberculosis. M.S Ramaiah Medical College India. books/040-11/ tuberculosis—a comprehensive-clinical-reference/.

Yoneda R. (1990). Tuberculosis sequelae. Tokyo national chest hospital, 65: 827-9.

Kim HY, Song KS, Goo JM, Lee JS, Lee KS, Lim TH. (2001). Thoracic sequelae and complications of tuberculosis. RSNA, 21: 839-60.

Bidwell JL, Pachner RW. (2005). Hemoptysis: diagnosis and management. American Family Physician, 72: 1253-60.

Lundgren FL, Costa AM, Figueiredo LC, Borba PC. (2010). Hemoptysis in a referral hospital for pulmonology. Jornal Brasileiro de Pneumologia,36: 320-4.

Lordan JL, Gascoigne A, Corris PA. (2003). The pulmonary physician in critical care: assessment and management of massive hemoptysis. BMJ Thorax, 58: 814-9.

Spinu C, Gonzalez EC, Andreu M, Gallardo X, Duaso MM, Bustelo JC. (2013). Life threatening hemoptysis: role of MDCT angiography. European Society of Radiology. p. 1-25.

Agmy GM, Wafy SM, Mohamed SA, Gad YA, Mustafa H, El-Aziz AE. (2013). Bronchial and nonbronchial systemic artery embolization in management of hemoptysis: experience with 348 patients. ISRN Vascular Medicine, 2013: 1-5.

Ingbar DH. (2005). Causes and management of massive hemoptysis in adults. criticalcare/Documents/Causesandmanagementofmassivehemoptys is.pdf

Shetty A, Badawy A. Rasmussen’s aneurysm. articles/ rasmussen-aneurysm.

Parrott A, Djibre M, Roques S, Khalil A, Fartoukh M. (2012). Hemoptysis.

Etty Sumiyeti. (2012). Batuk darah (hemoptisis). Pertemuan Ilmiah Respirologi Bekasi. Bekasi, 3 Juni 2012.

Boedi Swidarmoko. (2013). Management of difficult airways in massive hemoptysis. PIPKRA. 7-8 Februari 2013.

Samara KD, Tsetis D, Antoniou KM, Protopapadakis C, Maltezakis G, Siafakas NM. (2011). Bronchial artery embolization for management of massive cryptogenic hemoptysis: a case series. Journal of Medical Case Report, 58: 1-4.

Sopko DR, Smith TP. (2011). Bronchial artery embolization for hemoptysis. Seminar in Interventional Radiology, 28: 42-62.

Sidhu M, Wieseler K, Burdick TR, Shaw DW. (2008). Bronchial artery embolization for hemoptysis. Seminar in Interventional Radiology, 25 (3): 310-8.


  • There are currently no refbacks.

View My Stats



Creative Commons License

JR (p-ISSN: 2407-0831e-ISSN: 2621-8372) is licensed under Creative Commons Attribution-ShareAlike 4.0 International License.