• 대한기관식도과학회지
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• 제2권2호
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• pp.238-243
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• 1996

Aspiration of foreign bodies into the tracheobronchial tree is unusual in adults and it may result in Proximal airway obstruction and acute life-threatening asphyxia. It can be diagnosed by history of aspiration or visualizing the foreign body by chest roentgenogram or bronchoscopy. But it is rarely considered in adults with subacute or chronic respiratory symptoms without a definite history which suggests an aspiration. A 70-year-old woman was admitted to the hospital due to productive cough for two months and dyspnea which aggravated since the day before admission. Chest X-ray showed Pneumonic infiltration on left upper lobe and right lower lobe. Despite several days of conventional therapy, the patient complained of severe dyspnea and wheezing. We performed chest CT to rule out endobronchial stenosis, and it revealed the narrowing of left main stem bronchus compatible with endobronchial tuberculosis. Fiberoptic bronchoscopy for confirmation disclosed a $3.2{\times}0.7{\times}0.2$cm sized foreign body located longitudinally at the left main stem bronchus. We removed it with alligator forcep and it proved In be a piece of artificial denture. The patient remembered losing it while severe coughing on the day before admission. The microscopic examination of bronchial washing fluid revealed numerous acid fast bacilli. After removal of the foreign body, the patient showed marked improvement in symptom and pulmonary function test. Here we report a case of Pulmonary aspiration of foreign body which is confused with endobronchial tuberculosis with a review of the literature.

• Tuberculosis and Respiratory Diseases
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• 제78권3호
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• pp.286-288
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• 2015

Endobronchial tuberculosis is defined as a tuberculous infection of the tracheobronchial tree and has a prevalence of up to 50% in active pulmonary tuberculosis cases. The most common complication of endobronchial tuberculosis is bronchial stenosis; benign fistula formation by endobronchial tuberculosis is rare, especially inter-bronchial fistula formation. We reported a rare case of a 73-year-old woman with a fistula between the right upper bronchus and bronchus intermedius. A diagnosis of inter-bronchial fistula caused by endobronchial tuberculosis was based on the results of chest computed tomography scans, bronchoscopy, and microbiological and pathological tests. The patient was treated with anti-tuberculous medication, and her symptoms gradually improved.

• Tuberculosis and Respiratory Diseases
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• 제49권4호
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• pp.508-513
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• 2000

Aspergillus에 의한 기관-기관지염은 침습성 폐 국 균증의 한 분류로써 드문 질환이다. 저자들은 aspergillus에 의한 기관-기관지염증 aspergillus 기관-기관지염을 경험하고 성공적으로 치료하였기에 문헌고찰과 함께 보고하는 바이다.

• Tuberculosis and Respiratory Diseases
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• 제41권4호
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• pp.429-434
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• 1994

저자들은 폐결핵 치료중 흉통, 발열, 기침 등 폐렴소견과 단순흉부 X 선상 결핵의 악화소견으로 본 병원에 입원한 67세 남자에서 순차적인 단순흉부X선과 기관지 내시경 및 조직생검을 통하여 좌측 주기관지에서 발생한 고등급의 점액표피양 암종을 확인하였으며, 진단후 17개월만에 사망한 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

• Tuberculosis and Respiratory Diseases
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• 제40권6호
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• pp.736-741
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• 1993

Pulmonary sequestration is the part of a spectrum of bronchopulmonary foregut anomalies in which a portion of lung parenchyma does not communicate with the tracheobronchial tree and usually receives its arterial supply from a systemic vessel. The sequestrated portion of the lung is susceptible to infection. The patient with this entity will have a paucity of symptoms and will present himself for treatment because of a persistent pneumonia. The associated aberrant systemic artery makes the preoperative diagnosis of the lesion imperative because of the life-threatening technical hazards posed by this artery. We experienced a case of intralobar pulmonary sequestration. Initially, the diagnosis of sequestration was unsuspected and open thoracotomy was done for management of homogenous cystic mass on left lower lobe, but one anomalous systemic artery from thoracic descending aorta to sequestrated lung was incidentally revealed. Then we underwent lower lobectomy and ligation of anomalous artery.

• Journal of Chest Surgery
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• 제34권6호
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• pp.502-505
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• 2001

폐격리증은 정상 기관지와 교통이 없으며, 기형동맥으로부터 혈류공급을 받는 비정상적인 폐조직이다. 해부학적으로 내엽형 폐격리증과 외엽형 폐격리증으로 구분된다. 외엽형 폐격리증은 대부분 폐하엽과 횡격막사이에 존재하며, 체순환계로부터 동맥혈 공급을 받아 체순환계로 정맥혈 환류가 이루어지고, 대부분의 환자는 유아기에 진단된다. 48세 성인여성에서 우측 상엽과 하엽 사이에 존재하며 폐동맥으로부터 혈류공급을 받아 좌심방으로 직접 유입되는 외엽형 폐격리증이 있어 이를 보고하고자 한다

• 한국응급구조학회지
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• 제9권1호
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• pp.95-99
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• 2005

Penetrating neck trauma by gunshot injury involving tracheobronchial tree is rare in Korea. Extensive tissue damage by cavitation, tissue fragmentation and shock wave transmission of high-velocity projectile along with associated organ injury renders high rate of mortality and morbidity. A 28 year old man in military service with gunshot wound in left cervical area presented initial symptoms of severe dyspnea and subcutaneous emphysema. Computed tomography of chest and cervical region as well as bronchoscopic evaluation was performed to confirm highly suspected injury to cervical trachea. Surgical exposure was established through a low collar incision; the damaged segment of 3.5 cm length including 2-4th tracheal rings was resected out and end-to-end anastomosis was performed. Bleeding from lacerated anterior jugular vein was controlled by ligation of both ends and a K2 bulllet was found upon inner border of body of first rib, medial to right carotid sheath and removed out. Cervical esophagus, carotid artery, internal jugular vein and recurrent laryngeal nerve were spared. Extubation was done on the first postoperative day and postoperative course until discharge on nineth postoperative day remained uneventful.

• 대한영상의학회지
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• 제82권1호
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• pp.207-211
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• 2021

기관지 낭종은 기관이나 기관지를 따라 종격동에서 가장 흔하게 나타나는 드문 선천성 기형이며, 특히 뒤쪽 상부 종격동에 생긴다. 기관지 낭종은 다른 위치에서도 발생할 수 있으며 폐, 복강, 그리고 후복강에서 위치가 보고되었다. 저자들은 전천추부 공간에 생긴 후복강 기관지 낭종의 증례를 보고한다. 환자는 수술 후 병리 조직학적 검사에서 최종적으로 진단되었다.

• 대한영상의학회지
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• 제82권6호
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• pp.1441-1476
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• 2021

기관-기관지분지는 폐와 전신에 산소 공급을 위한 공기의 통로이며, 다양한 병적 상태들이 이러한 해부학적 부위를 침범할 수 있다. 다중 검출 전산화단층촬영은 다양한 기도 질환들의 진단을 위한 발견 및 특성화에 있어 중요한 역할을 한다. 가상 기관지경 검사나 자동 폐분석과 같은 후처리를 통해 영상 영상검사의 활용이 더욱 높아질 수 있다. 본 임상 화보에서는 벽비후와 기관 내 결절의 형태로 나타나는 다양한 기관지 병변들의 다중 검출 전산화단층촬영에서의 소견 및 고차원적 영상 시각화와 분석 영상을 제공하고자 한다.

• Tuberculosis and Respiratory Diseases
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• 제46권5호
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• pp.729-734
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• 1999

저자들은 객혈을 주소로 내원한 35세의 남자 환자에서 기관지경, 식도내시경 및 식도조영술로 기관지확장증에 의한 식도기관지루를 진단하고, 수술적 치료를 시행한 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.