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Vol. 42. Issue 1.
Pages 39-41 (January 2006)
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Vol. 42. Issue 1.
Pages 39-41 (January 2006)
Case Reports
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Pulmonary Varix Inside a Bulla
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J. Sellarésa,
Corresponding author
jacobosellares@wanadoo.es

Correspondence: Dr. J. Sellarés-Torres. Servei de Pneumologia. Hospital Clínic. Villarroel, 170. 08036 Barcelona. España
, S. Santosb, E. Ballestera, J.A. Barberàa
a Servei de Pneumologia, Hospital Clínic, Universitat de Barcelona, Barcelona, Spain
b Servei de Medicina Interna, Hospital Comarcal de l'Alt Penedés, Vilafranca del Penedés, Barcelona, Spain
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Pulmonary varices are uncommon vascular abnormalities that are usually asymptomatic and so they are normally diagnosed by chance from a chest x-ray. They often present as a pulmonary nodule and can be either congenital or acquired. If acquired, they are associated with pulmonary venous hypertension, usually as a result of mitral valve disease. Pulmonary arteriography provides a definitive diagnosis, although the use of new noninvasive imaging techniques is spreading. Treatment is not normally required unless serious complications arise. We present the case of a pulmonary varix located within a pulmonary bulla. This form of presentation has not been previously reported.

Key words:
Pulmonary varix
Pulmonary nodule
Hemoptysis
Pulmonary bulla

Las varices pulmonares son anomalías vasculares pulmo-nares infrecuentes. Suelen ser asintomáticas, por lo que nor-malmente se diagnostican como hallazgo casual en la radio-grafía de tórax, y con frecuencia se presentan como un nódulo pulmonar. Su origen puede ser congénito o adquirido; en este último caso se relaciona con una hipertensión pulmonar venosa, frecuentemente asociada a valvulopatía mitral. Su diagnóstico definitivo se realiza mediante arteriografía pulmonar, aunque cada vez más se están usando nuevas téc-nicas de imagen no invasivas. Normalmente no requieren tra-tamiento, a menos que presenten complicaciones graves. Ex-ponemos un caso con una forma de presentación de variz pulmonar no descrita con anterioridad, ya que dicha anoma-lía se encontraba en el interior de una bulla pulmonar.

Palabras clave:
Variz pulmonar
Nódulo pulmonar
Hemoptisis
Bulla pulmonar
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Copyright © 2006. Sociedad Española de Neumología y Cirugía Torácica (SEPAR)
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