Tuberculosis and Respiratory Diseases

  • 제60권6호
  • /
  • Pages.678-683
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  • 2006
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  • 1738-3536(pISSN)
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  • 2005-6184(eISSN)
대한결핵및호흡기학회 (The Korean Academy of Tuberculosis and Respiratory Diseases)
권호 표지

폐 격리증을 동반한 기관지내 평활근종 1례

1 Case of Bronchial Leiomyoma with Intralobar Pulmonary Sequestration

  • 정보용 (순천향대학교 의과대학 내과학교실) ;
  • 김도환 (순천향대학교 의과대학 내과학교실) ;
  • 박은서 (순천향대학교 의과대학 내과학교실) ;
  • 한승효 (순천향대학교 의과대학 내과학교실) ;
  • 김영통 (순천향대학교 의과대학 영상의학교실) ;
  • 오미혜 (순천향대학교 의과대학 진단병리교실) ;
  • 이석열 (순천향대학교 의과대학 흉부외과교실) ;
  • 최재성 (순천향대학교 의과대학 내과학교실) ;
  • 나주옥 (순천향대학교 의과대학 내과학교실) ;
  • 서기현 (순천향대학교 의과대학 내과학교실) ;
  • 김용훈 (순천향대학교 의과대학 내과학교실)
  • Jung, Bo Yong (Department of Internal Medicine, University of Soonchunhyang college of Medicine) ;
  • Kim, Do Hwan (Department of Internal Medicine, University of Soonchunhyang college of Medicine) ;
  • Park, Eun Seo (Department of Internal Medicine, University of Soonchunhyang college of Medicine) ;
  • Han, Seung Hoe (Department of Internal Medicine, University of Soonchunhyang college of Medicine) ;
  • Kim, Young Tong (Department of Radiology, University of Soonchunhyang college of Medicine) ;
  • Oh, Mi Hye (Department of Diagnostic Pathology, University of Soonchunhyang college of Medicine) ;
  • Lee, Seok Yul (Department of Thoracic Surgery, University of Soonchunhyang college of Medicine) ;
  • Choi, Jae Sung (Department of Internal Medicine, University of Soonchunhyang college of Medicine) ;
  • Na, Joo Ock (Department of Internal Medicine, University of Soonchunhyang college of Medicine) ;
  • Seo, Ki Hyun (Department of Internal Medicine, University of Soonchunhyang college of Medicine) ;
  • Kim, Yong Hoon (Department of Internal Medicine, University of Soonchunhyang college of Medicine)
  • 투고 : 2006.04.18
  • 심사 : 2006.06.07
  • 발행 : 2006.06.30
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초록

기관지 평활근종과 폐 격리증은 두 질환 모두 희귀한 질환으로 같이 동반된 증례는 현재까지 보고된 적은 없다. 저자들은 호흡곤란, 기침, 화농성 객담을 주소로 개인의원에서 폐렴 치료 후 호전 없어 본원으로 전원 후, 흉부 CT 촬영과 기관지내시경에서 좌폐하엽의 허탈을 동반한 좌측 주기관지의 말단부위에 1.5 cm크기의 종괴와 대동맥에서 나오는 이상 동맥을 발견하여 이상 동맥 결찰과 좌하엽 절제술을 시행하여 호전되었던 폐 격리증을 동반한 기관지 평활근종 1 예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Both bronchial leiomyoma and pulmonary sequestration are rare conditions, and to the best of our knowledge there are no reports of the two conditions coexisting. We report a female patient with bronchial leiomyoma with acquired pulmonary sequestration who presented with dyspnea, cough and purulent sputum. The patient had been treated for pneumonia at a local medical clinic. but was transferred to our clinic beacausr there was no clinical improvement. A 3-D computed tomography scan revealed a 1.5 cm sized mass near the distal portion of the left main bronchus and an anomalous artery arising from the aorta. The patient showed clinical improvement after a left lower lobectomy and a ligation of the anomalous artery.

키워드

참고문헌

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