The New England Journal of Medicine shares some of the most amazing images from the often strange and wonderful field of medicine, but sometimes the content can be both disgusting and yet fascinating.
On Tuesday, the respectable magazine shared a truly incredible case: a 36-year-old man with aggressive terminal-stage heart failure had such an extreme cough attack that he coughed up with a six inch wide blood clot. [19659003Mentrequellodiperséèqualcosadisbalorditivolostaffmedicochetrattaval'uomosenzanomeerastupitodiscoprirechedatelesuecircostanzemedicheunichel'uomoavevaeffettivamenteespulsouncastperfettamenteintattodelsuoalberobronchialedestrounodeiretitubolaricheportanoariadaeversoipolmoni
Georg Wieselthaler, a transplant and lung surgeon at the & # 39; University of California at San Francisco, he was responsible for the care of & # 39; man and had hooked the patient to a pump to help the blood flow through his body, while also providing a cycle of anticoagulants to help keep the man alive.
Did not realize that it was actually possible to cough a lung 😳
̵1; Surge Biswas (@SurgeBiswas) December 4, 2018
"You have a high turbulence inside the pumps, and this can cause clots to form inside " Wieselthalers said to the Atlantic. "So with all these patients, you have to give them anticoagulants to make the blood thinner and prevent clots from forming."
However, anticoagulants can cause problems if a violation occurs in the blood vessel network, which happened in this extraordinary case; the blood came out of the patient's lung network in his lower right lung.
"We were amazed" Wieselthaler said. "It's a curiosity you can not imagine – I mean, it's very, very, very rare."
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It turns out that the 36-year-old patient's condition produced high levels of fibrinogen, a protein that can act as a glue to aid the coagulation process, which has allowed the gummy "blood sculpture" to escape from the man's trachea is intact.
"Because it was so big, it was able to generate enough force from an entire right side of the chest to push it up and out," Gavitt Woodard, a clinician said
Unfortunately, despite the best efforts of the medical team, the man died a week after coughing the jet of the bronchial tube.
The clumps of the bronchial trees (called casts) are actually relatively common but only in extremely rare cases emerge in such an original condition.
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