Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Chronic Lhng Abscess Caused By Traumatic Bronchial Foreign Body(Wood) Persisting For 30 Years -A case report-

30년전 흉부외상에 의해 발생한 기관지내 이물(나무)과 이에 병발한 만성 폐농양 -1례 보고-

  • Oh, Duck-Jin (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Chungnam National University) ;
  • Lee, Young (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Chungnam National University) ;
  • Lim, Seung-Pyeung (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Chungnam National University) ;
  • Yu, Jae-Hyun (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Chungnam National University) ;
  • Na, Myung-Hoon (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Chungnam National University)
  • 오덕진 (충남대학교 의과대학 흉부외과학교실) ;
  • 이영 (충남대학교 의과대학 흉부외과학교실) ;
  • 임승평 (충남대학교 의과대학 흉부외과학교실) ;
  • 유재현 (충남대학교 의과대학 흉부외과학교실) ;
  • 나명훈 (충남대학교 의과대학 흉부외과학교실)
  • Published : 1996.09.01
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Abstract

A case with a bronchial foreign body(wood) which had an uncommon way of entry through a wound In the chest wall was described. A 41-year-old man was admitted to our hospital because of chronic cough and profuse purulent sputum. He had been injured by a fragment of wood which penetrated his anterolateral chest wall at 30 years ago. A chest x-ray film reavealed a calcific foreign body, measuring 3.0 by 1.0 cm, in the posterobasal segment of the left lung. Computed nomograp y of the chest demonstrated a calcific foreign body with bronchiectatic change near the diaphragmatic pleura In the left lower lobe. Left lower lobectomy was performed, and the patient remains well without any thoracic symptoms after the operation.

흉부외상에 의한 흉곽내 이물의 기관지 침식 또는 이동은 극히 드물게 발생하는 경우이다. 41세 남자가 만성 기침과 농성 객담을 주소로 내원하였다. 과거력상 30년전 어린시절 나무에서 떨어져 왼쪽가슴을 나무에 찔린 사고를 당해 약 6개월간 병원에서 치료받았으며 상처부위에서 나무토막이 나왔다고하였다. 단순 흉부사진에서 3x/cm 크기의 석회화된 음영이 좌측 폐후기저구역에서 보였으며 흉부 전산화 단층촬영 사진에서 좌측 폐 횡격막측흉막 근처에 기관지확장증이 동반된 석회화 소견을 보였다. 좌하엽 절제술후 합병증없이 경쾌 퇴원하였다.

Keywords

References

  1. Surg Clin North Am v.69 Intrathoracic and intravascular migratory foreign bodies Van Way C.W.Ⅲ.
  2. Am Rev Respir Dis v.109 Hemoptysis secondary to retained transpulmonary foreign body;Diagnosis by fiberoptic bronchoscopy 28 yers after injury Kovnat,D.M.;Anderson,W.M.;Rath,G.S.(et al.)
  3. J Trauma v.16 Retained intrapulmonary bullet presenting with bronchial obstruction Kelley,W.A.;James,E.C.
  4. J Trauma v.33 Spontaneous endobronchial erosion and expectoration of a retained intrathoracic bullet Saunders,M.S.
  5. JAMA v.251 Migration of shrapnel from lung to bronchus Bogedain,W.
  6. N Engl J Med v.274 Missiles in the heart : A twenty-year follow-up of World War Ⅱ cases Bland,E.F.;Beebe,G.W.
  7. Surg Gynecol Obstet v.123 Treatment of intrapulmonary shell fragments Vogt-Noykopt I.;Krumhar,D.
  8. Surg Clin North Am v.69 Delayed sequelae of thoracic trauma Symbas,P.N.;Gott,J.P.