DOI QR코드

DOI QR Code

기관기관지거대증 환자 1예

Tracheobronchomegaly with Bronchomalacia

  • 이준희 (성균관대학교 의과대학 삼성서울병원 내과) ;
  • 박혜연 (성균관대학교 의과대학 삼성서울병원 내과) ;
  • 이민지 (성균관대학교 의과대학 삼성서울병원 내과) ;
  • 이윤정 (성균관대학교 의과대학 삼성서울병원 내과) ;
  • 안준성 (성균관대학교 의과대학 삼성서울병원 내과) ;
  • 전자룡 (성균관대학교 의과대학 삼성서울병원 내과) ;
  • 김호중 (성균관대학교 의과대학 삼성서울병원 내과)
  • Lee, Jun-Hee (Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Park, Hye-Yon (Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Lee, Min-Ji (Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Lee, Yoon-Jung (Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Ahn, Joon-Seong (Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Jeon, Ja-Ryong (Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Kim, Ho-Joong (Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 발행 : 2012.09.01

초록

저자들은 만성 기침과 객담, 호흡곤란을 호소하는 환자에서 기관지연화증을 동반한 기관기관지거대증을 진단하였기에 그 사례를 문헌고찰과 함께 보고하는 바이다.

Tracheobronchomegaly, or Mounier-Kuhn syndrome, is a rare clinical and radiologic condition characterized by marked tracheobronchial dilatation and recurrent lower respiratory tract infections. It is thought to be due to a congenital anomaly. A diagnosis is typically made using computed tomography (CT) and bronchoscopy. Symptoms can range from minimal with preserved lung function to severe respiratory failure. Here, we present the case of a 50-year-old male who was referred to our hospital for chronic cough, sputum, and dyspnea. In addition, the patient showed tracheobronchomegaly with bronchomalacia on CT and bronchoscopy. This report describes a rare case of Mounier-Kuhn syndrome with a literature review.

키워드

참고문헌

  1. Woodring JH, Howard RS 2nd, Rehm SR. Congenital tracheobronchomegaly (Mounier-Kuhn syndrome): a report of 10 cases and review of the literature. J Thorac Imaging 1991;6:1-10.
  2. Shin MS, Jackson RM, Ho KJ. Tracheobronchomegaly (Mounier-Kuhn syndrome): CT diagnosis. AJR Am J Roentgenol 1988;150:777-779. https://doi.org/10.2214/ajr.150.4.777
  3. Park CS, Kim JS. Tracheobronchomegaly with multiple diverticula: a case report. J Korean Radiol Soc 1993;29: 99-103.
  4. Katz I, Levine M, Herman P. Tracheobronchiomegaly: the Mounier-Kuhn syndrome. Am J Roentgenol Radium Ther Nucl Med 1962;88:1084-1094.
  5. Woodring JH, Barrett PA, Rehm SR, Nurenberg P. Acquired tracheomegaly in adults as a complication of diffuse pulmonary fibrosis. AJR Am J Roentgenol 1989;152:743-747. https://doi.org/10.2214/ajr.152.4.743
  6. Van Schoor J, Joos G, Pauwels R. Tracheobronchomegaly: the Mounier-Kuhn syndrome: report of two cases and review of the literature. Eur Respir J 1991;4:1303-1306.
  7. Blake MA, Clarke PD, Fenlon HM. Thoracic case of the day: Mounier-Kuhn syndrome (tracheobronchomegaly). AJR Am J Roentgenol 1999;173:822, 824-825.
  8. Odell DD, Shah A, Gangadharan SP, et al. Airway stenting and tracheobronchoplasty improve respiratory symptoms in Mounier-Kuhn syndrome. Chest 2011;140:867-873. https://doi.org/10.1378/chest.10-2010
  9. Minai OA, Mehta AC, Pettersson G, Demet K. Lung transplantation in a patient with Mounier-Kuhn syndrome. J Thorac Cardiovasc Surg 2006;132:737-738.
  10. Pilavaki M, Anastasiadou K, Vlachojanni E, Drosos H, Petridis A, Drevelengas A. Tracheobronchomegaly (Mounier- Kuhn syndrome): roentgen findings and tracheal stent instrumentation. Pneumologie 1995;49:556-558.