A CASE OF CHRONIC RENAL FAILURE WITH BRONCHIAL ARTERIAL ANEURYSM

We experienced a case of chronic renal failure with bronchial arterial aneurysm. A 53-year-old man was admitted to the hospital because of abnormal shadow on a chest X-ray film. A mass in the right lower lung became large and was enhanced heterogenously on chest CT and magnetic resonance imaging (MRI). A lower lobectomy of the right lung was carried out under a diagnosis of malignant tumor of the lung, but the lesion which seemed to be a tumor was bronchial arterial aneurysm. Histopathological examination revealed aneurysm with thrombus. Bronchial arterial aneurysm is rare, with only 41 reported cases in Japan so far. This is the first case of the disease associated with chronic renal failure.