Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Spinal Epidural Emphysema Complicating in Patient with Bronchial Asthma

척추 경막외 기종이 동반된 기관지 천식 1례

  • Lee, Cheol-Ho (Department of Internal Medicine, Wallace Memorial Baptist Hospital) ;
  • Kwon, Hyung-Joo (Department of Internal Medicine, Wallace Memorial Baptist Hospital) ;
  • Park, Young-Woo (Department of Internal Medicine, Wallace Memorial Baptist Hospital) ;
  • Lee, Moo-Yeol (Department of Internal Medicine, Wallace Memorial Baptist Hospital) ;
  • Yu, Heung-Sun (Department of Internal Medicine, Wallace Memorial Baptist Hospital) ;
  • Hwang, In-Seog (Department of Internal Medicine, Wallace Memorial Baptist Hospital) ;
  • Kim, Jin-Kwan (Department of Internal Medicine, Wallace Memorial Baptist Hospital) ;
  • Kim, Mi-Young (Department of Internal Medicine, Wallace Memorial Baptist Hospital) ;
  • Sin, Mi-Jeong (Department of Diagnostic Radiology, Wallace Memorial Baptist Hospital) ;
  • Hwang, Soon-Chul (Department of Internal Medicine, Wallace Memorial Baptist Hospital)
  • 이철호 (왈레스 기념 침례병원 내과) ;
  • 권형주 (왈레스 기념 침례병원 내과) ;
  • 박영우 (왈레스 기념 침례병원 내과) ;
  • 이무열 (왈레스 기념 침례병원 내과) ;
  • 유흥선 (왈레스 기념 침례병원 내과) ;
  • 황인석 (왈레스 기념 침례병원 내과) ;
  • 김진관 (왈레스 기념 침례병원 내과) ;
  • 김미영 (왈레스 기념 침례병원 내과) ;
  • 신미정 (왈레스 기념 침례병원 진단방사선과) ;
  • 황순철 (왈레스 기념 침례병원 내과)
  • Published : 2000.09.30
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Abstract

Spinal epidural emphysema is rare, and only a few cases have ever been reported. A 18 year-old man was admitted for neck and chest pain for 3 days. Before admission he experienced rhinorrhea and severe cough. Physical examination revealed wheezing on whole lung field and subcutaneous emphysema over the upper portion of the chest and neck. Chest radiograph showed pneumomediastinum and subcutaneous emphysema in the neck and chest CT images demonstrate a free air in the prevertebral fascia. With conservative management, the patient's condition and the pneumomediastinum improved. The patient was discharged to home on the fourteenth day.

척추 경막외 기종은 드문 질환으로 흉부 CT상 우연히 발견되는 경우가 많고, 고식적 치료로 완치되는 양성 질환이다. 저자들은 기종격동 및 경막외 기종까지 동반된 기관지 천식 1례를 치료하였기에 문헌고찰과 함께 보고하는 바이다.

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