Abstract We present a novel case of embolization for a patient presenting with chronic episodes of hemoptysis, found to have a pseudoaneurysm arising from a branch of the L5 intercostal artery secondary to active tuberculosis (TB). The expectant management for pseudoaneurysm in this location would be radiological intervention for identifying and embolizing the pseudoaneurysm. This case is unique given its atypical location and several feeder branches, making the treatment approach more challenging. In addition, a concomitant pseudoaneurysm with active TB predisposes the patient to multiple etiologies for hemoptysis that make management further complicated. Ultimately, the patient was treated with acute coil embolization of the pseudoaneurysm and placed on a prolonged course of the RIPE (Rifampin, Isoniazid, Pyrazinamide, and Ethambutol) regimen for active TB, resulting in resolving hemoptysis and overall clinical improvement. The patient’s case and the details of our intervention with relevant imaging are discussed throughout the report, as well as a brief overview of management for hemoptysis secondary to pseudoaneurysms.
Cohen et al. (Fri,) studied this question.