폐국균증을 동반한 내엽형 폐격리증 -1례 보고-

Aspergillosis within an Intralobar Sequestration -A case report-

  • 발행 : 1999.01.01

초록

폐격리증이란 기형적 동맥에 의해 영양공급을 받는 대생 폐조직의 일부를 일컫는 용어이다. 이는 두 가지로 대별되며 -외협형과 내엽형- 다른 임상양상을 보인다. 본 과에서는 폐국균증을 동반한 내엽형 폐격리증 1례를 경험하였다. 환자는 32세 여자로 특별한 증상은 없었으며, 우연히 낭종성 병변을 지닌 폐종물이 발견되었다. 수술시야에서 하폐인대의 비정상적 동맥을 보어 폐격리증으로 진단하고, 우하엽 절제술을 시행하였다.

The bronchopulmonary sequestration is a term used to describe an area of embryonic lung tissue supplied by an anomalous systemic artery. Two forms are recognised -extralobar and intralobar- with different clinical presentations. We have experienced a case of aspergillosis within an intralobar sequestration. The patient was 32 year-old female and had no specific complaints. The lung mass containing cystic lesion was found incidentally and confirmed to be intralobar sequestration on the operative field which showed aberrant artery in the inferior pulmonary ligament. The right lower lobectomy was done

키워드

참고문헌

  1. N Engl J Med v.278 Congenital bronchopulmonary forgut malformations: pulmonary sequestration communicating with the gastrointestinal tract Gerle RD;Jaretzki A;Ashley CA;Berne AS
  2. Chest v.30 Intralobar pulmonary sequestration associated with anomalous pulmonary vessels: A nonentity Gebauer PW;Mason CB
  3. Chest v.103 Mycetoma within an intralobar sequestration: Evidence supporting acquired origin for this pulmonary anomaly Uppal MS;Kohman LJ;Katzenstein AA
  4. Jpn J Med v.2 Bronchopulmonary sequestration associated with aspergilloma, with special reference to the finding of radionuclide venoangiography Hwang JJ;Wang TH;Wu CC;Chang CY
  5. Thorax v.50 Colonization with aspergillus of an intralobar pulmonary sequestration Freixnet J;de Cos J;de Castro FR;Romero T
  6. Chest v.103 Pulmonary sequestration with primary blastomycosis:Failure of ketokonazole therapy after resection Serneels RA;Marshall GS;Wampler J;Miller D;Adams G
  7. Ann Thorac Surg v.47 Intralobar sequestration: A missed diagnosis Gustafson RA;Murray GF;Warden HE;Hill RC;Rozar GE
  8. Semin Diagn Pathol v.3 Sequestrations of the lung Stocker JT