Tuberculosis and Respiratory Diseases

  • 제65권3호
  • /
  • Pages.216-221
  • /
  • 2008
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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

자발성 흉곽 내 만성 팽창성 혈종 1예

A Case of Spontaneous Chronic Expanding Hematoma in the Thorax

  • 주용원 (한양대학교 의과대학 내과학교실) ;
  • 손창남 (한양대학교 의과대학 내과학교실) ;
  • 정경희 (한양대학교 의과대학 내과학교실) ;
  • 박혜정 (한양대학교 의과대학 내과학교실) ;
  • 김상헌 (한양대학교 의과대학 내과학교실) ;
  • 김태형 (한양대학교 의과대학 내과학교실) ;
  • 손장원 (한양대학교 의과대학 내과학교실) ;
  • 윤호주 (한양대학교 의과대학 내과학교실) ;
  • 최요원 (한양대학교 의과대학 영상의학교실) ;
  • 정원상 (한양대학교 의과대학 흉부외과학교실) ;
  • 신동호 (한양대학교 의과대학 내과학교실) ;
  • 박성수 (한양대학교 의과대학 내과학교실)
  • Joo, Yong Won (Department of Internal Medicine, Hanyang University College of Medicine) ;
  • Son, Chang Nam (Department of Internal Medicine, Hanyang University College of Medicine) ;
  • Jung, Kyong Hee (Department of Internal Medicine, Hanyang University College of Medicine) ;
  • Park, Hae Jeong (Department of Internal Medicine, Hanyang University College of Medicine) ;
  • Kim, Sang-Heon (Department of Internal Medicine, Hanyang University College of Medicine) ;
  • Kim, Tae Hyung (Department of Internal Medicine, Hanyang University College of Medicine) ;
  • Sohn, Jang Won (Department of Internal Medicine, Hanyang University College of Medicine) ;
  • Yoon, Ho Joo (Department of Internal Medicine, Hanyang University College of Medicine) ;
  • Choi, Yo Won (Department of Diagnostic Radiology, Hanyang University College of Medicine) ;
  • Chung, Won Sang (Department of Thoracic and Cardiovascular Surgery, Hanyang University College of Medicine) ;
  • Shin, Dong Ho (Department of Internal Medicine, Hanyang University College of Medicine) ;
  • Park, Sung Soo (Department of Internal Medicine, Hanyang University College of Medicine)
  • 투고 : 2008.07.16
  • 심사 : 2008.08.02
  • 발행 : 2008.09.30
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초록

저자들은 대량 객혈로 발현한 흉곽 내 만성 팽창성 혈종 1예를 보고한다. 이 증례는 이전의 증례와 달리 결핵성늑막염이나 흉부 수술, 외상의 과거력 없이 자연 발생한 증례라는 점에서 의의가 있다. 또한 무증상, 호흡곤란 등으로 발현했던 대부분의 증례와는 달리 드물게 대량객혈로 발현하였으며, 이러한 대량객혈이 기관지흉막루를 동반하여 발생하여 기관지동맥 색전술과 수술로 치료되었다는 점에서 특징적이다. 증례보고와 함께 문헌고찰을 통해 과거 보고된 흉곽 내 만성 팽창성 혈종의 임상양상에 대해 표로 정리하였다.

A chronic expanding hematoma (CEH) in the thorax is a rare and specific condition of chronic empyema. CEHs in the thorax are often associated with tuberculosis and/or previous surgical procedures. While the incidental detection of a pleural mass and dyspnea are common clinical manifestations, a few cases present with hemoptysis. We encountered a case of CEH in the thorax. This case is unique in that it developed without a prior history of tuberculosis or surgery and presented with massive hemoptysis accompanied by bronchopleural fistula. We report the third case of CEH in the thorax in Korea with a summary of the clinical characteristics of previous cases.

키워드

참고문헌

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