Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Chronic Expanding Hematoma with Initial Presentation as Massive Hemotpysis through Bronchopleural Fistula in the Thorax

기관지 흉막루를 통해 대량 객혈을 한 만성 팽창성 혈종 1예

  • Jeon, Eun Kyoung (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Chung, Mun Kyung (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Kim, Gun Min (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Kang, Ji Young (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Park, Hyun Jin (Department of Radiology, The Catholic University of Korea College of Medicine) ;
  • Kim, Seung Joon (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Lee, Sook Young (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Moon, Hwa Sik (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Song, Jeong Sup (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Park, Sung Hak (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Kim, Young Kyoon (Department of Internal Medicine, The Catholic University of Korea College of Medicine)
  • 전은경 (가톨릭대학교 의과대학 강남성모병원 내과학교실) ;
  • 정문경 (가톨릭대학교 의과대학 강남성모병원 내과학교실) ;
  • 김건민 (가톨릭대학교 의과대학 강남성모병원 내과학교실) ;
  • 강지영 (가톨릭대학교 의과대학 강남성모병원 내과학교실) ;
  • 박현진 (가톨릭대학교 의과대학 강남성모병원 영상의학교실) ;
  • 김승준 (가톨릭대학교 의과대학 강남성모병원 내과학교실) ;
  • 이숙영 (가톨릭대학교 의과대학 강남성모병원 내과학교실) ;
  • 문화식 (가톨릭대학교 의과대학 강남성모병원 내과학교실) ;
  • 송정섭 (가톨릭대학교 의과대학 강남성모병원 내과학교실) ;
  • 박성학 (가톨릭대학교 의과대학 강남성모병원 내과학교실) ;
  • 김영균 (가톨릭대학교 의과대학 강남성모병원 내과학교실)
  • Received : 2007.11.22
  • Accepted : 2008.01.15
  • Published : 2008.01.30
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Abstract

Chronic expanding hematoma of the thorax is a specific subtype of the chronic empyema. It presents as a slowly expanding intrathoracic mass which result in dyspnea or recurrent hemoptysis. The symptoms develop months or years after tuberculous pleurisy, trauma or surgery. Usually, it shows three common findings: a giant mass lesion in the thorax, some surrounding calcifications, the absence of signs or symptoms of infection. We report a case of chronic expanding hematoma of the thorax, initially presenting as massive hemoptysis through bronchopleural fistula which resulted in radiologic findings of new air-fluid level within the previous pleural lesion filled with unknown materials.

흉강 내에 발생하는 만성 팽창성 혈종은 매우 드문 질환이다. 저자들은 20년 전 결핵성 늑막염을 앓고 난 뒤 반복적인 객혈로 3개월 전부터 외래 추적 관찰하던 노인에서 갑작스런 대량 객혈과 함께 이전 방사선 소견에서 병변을 가득 채웠던 물질이 새롭게 발생한 기관지 흉막루를 통해 소실되어 공기 액체층이 새롭게 형성된 일련의 변화를 통해, 내부 성분이 혈액임을 확인하여, 병변이 만성 팽창성 혈종임을 진단하였기에 문헌 고찰과 함께 보고 하는 바이다.

Keywords

References

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