A rare case of solitary pulmonary cavernous haemangioma with non-resolving recurrent haemoptysis

A 24-year-old male presented with history of recurrent unresolving haemoptysis since 1.5 years. He underwent repeated hospitalisation. Initial computed tomography (CT) scan was suggestive of pneumonitis of the left lower lobe and was treated conservatively with broad-spectrum antibiotics. He had no past history of pulmonary tuberculosis. On presentation at our hospital, a repeat CT pulmonary angiogram was done which showed a low attenuating mass lesion in the left lower lobe with eccentric calcification supplied by branches from the left pulmonary artery. Few dot-like enhancing pulmonary veins are noted within the lesion. He underwent left lower lobectomy. Post-operative period was uneventful and patient was discharged on the ninth post-operative day. On histopathology, the diagnosis was primary haemangioma arising from the lung parenchyma which is a rare benign lung tumour reported worldwide and probably for the first time from India.