Published: Sat, December 08, 2018
Health Care | By Belinda Paul

Incredible Blood Clot Coughed Up Intact Stumps Doctors

Incredible Blood Clot Coughed Up Intact Stumps Doctors

A man has stunned doctors by coughing up a 15-centimetre-wide blood clot from his lungs in the near-perfect shape of his right bronchial tree. Doctors could not believe the clot stayed intact.

The source of information in this article has been provided largely in part to an article in the New England Journal of Medicine.

He had been hooked up to a ventricular assist device - used to help circulate blood around the body - and administered anti-coagulation therapy (blood thinners).

According to a case report from the New England Journal of Medicine published on November 29, during a particularly violent coughing spell, the man coughed up his right bronchial tree - all intact.

The pulmonary surgeon Dr Georg Wieselthaler told The Atlantic when he carefully spread out the clot, realising it was the ideal shape, he was "astonished". "It's a curiosity you can't imagine-I mean, this is very, very, very rare", he said in a The Atlantic report.

A 36-year-old man was admitted to the ICU with an acute exacerbation of chronic #heartfailure.

Wieselthaler told the publication that it was the man's blood medication that made the clot rubbery and able to survive the trip out his airway instead of breaking up, since blood clots are typically hard plugs of blood. Don't say we didn't warn you.

It is also possible to cough up parts of the lung - as proven by this case, in which the man coughed up the right bronchial tree, which consists of three segmental branches in the upper lobe (as shown by the blue arrows above), two segmental branches in the middle lobe (as shown by the white arrows) and five segmental branches in the lower lobe (as shown by the black arrows).

His trachea was then intubated, with the flexible bronchoscopy revealing a small amount of blood in the basilar branches of the right lower lobe of his lungs.

Despite the doctor's best efforts and the assistance of a ventrical device, the man died from heart failure a week later.

The patient was extubated 2 days later and had no further episodes of hemoptysis.

And in the midst of one coughing fit he hawked up a bronchial tree - a series of tubes that distribute air to the lungs.

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