A Case of Total Lung Collapse due to Hemoptysis in Pregnancy

임신 중 발생한 객혈로 인한 전폐허탈 1예

  • Cho, Jung Je (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Ra, Seung Won (Department of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Lee, Kwang Ha (Department of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Lee, Jung A (Department of Family Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Kang, Chae Hoon (Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Gwon, Dong Il (Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Oh, Yeon-Mok (Department of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine)
  • 조정제 (울산대학교 의과대학 서울아산병원 내과) ;
  • 나승원 (울산대학교 의과대학 서울아산병원 호흡기내과) ;
  • 이광하 (울산대학교 의과대학 서울아산병원 호흡기내과) ;
  • 이정아 (울산대학교 의과대학 서울아산병원 가정의학과) ;
  • 강채훈 (울산대학교 의과대학 서울아산병원 영상의학과) ;
  • 권동일 (울산대학교 의과대학 서울아산병원 영상의학과) ;
  • 오연목 (울산대학교 의과대학 서울아산병원 호흡기내과)
  • Received : 2008.06.09
  • Accepted : 2008.06.25
  • Published : 2008.07.30

Abstract

Pregnancy induces many physiologic changes, and it can cause hemoptysis in relation to the underlying or potential pulmonary diseases. Although hemoptysis is not a frequent event during pregnancy, a thorough search for its etiology and then immediate management should be initiated for a case of massive hemoptysis to avoid serious adverse effects on both the fetus and the mother. Most hemoptysis events during pregnancy are related to well known etiologies, but there are a few reported cases of hemoptysis in pregnant women who are without any underlying lung lesion. We report here on a case of a pregnant woman with total lung collapse due to hemoptysis, and a thorough search for the etiology after delivery could not reveal any etiology.

임산부에서 객혈은 기저질환에 의해 2차적으로 일어날 때가 많지만, 기저질환이 없이도 임신중 호르몬 변화에 의한 혈관신생에 의해 일어날 가능성이 있다. 저자들은 임신시에 발생한 객혈로 인한 우측 전폐허탈을 보였으나 기저질환을 찾을 수 없었던 임산부 1예를 경험하였기에 이를 문헌고찰과 함께 보고하는 바이다.

Keywords

References

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