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Chest X-ray showing left hemithorax opacification.
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Subsequently, after last ospedalization in peripherical hospital, the worsening of her clinical conditions resulted in the transfer to the Gynecology Unit of our structure, where, she finally underwent chest X-ray that showed a massive left pleural effusion (Figure 1) but no history of epistaxis or family history of Osler-Weber-Rendu syndrome was noted.
Computed tomography of the chest with I.V. contrast showing left-sided pleural effusion and a likely 3 cm area of active contrast.
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CT-chest with i.v. contrast showed a likely 3 cm area of active contrast along with compressive atelectasis of the left lower lobe and pleural effusion (Figure 2).
Interventional radiologist-guided embolisation of the left pulmonary artery which was the culprit vessel.
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Embolisation of the culprit vessel was performed by placement of a non-adhesive liquid embolic agent (Onyx 34 ). (Figure 3).
Unexpandable lung showing after thoracotomy
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For this reason, decortication for lung re-expansion and lung wedge resection involving AVM were performed (Figures 4-6).
Lung wedge resection involving AVM
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For this reason, decortication for lung re-expansion and lung wedge resection involving AVM were performed (Figures 4-6).
Expanded lung after decortication XXX
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For this reason, decortication for lung re-expansion and lung wedge resection involving AVM were performed (Figures 4-6).