골절된 늑골의 폐 실질 함입에 의한 반복적 각혈의 수술적 치료 1예 |
장지원1, 맹영희2, 김미옥3, 이홍섭1 |
1제주대학교 의학전문대학원 흉부외과학교실 2제주대학교 의학전문대학원 병리학교싣 3제주대학교 의학전문대학원 내과학교실 |
Surgical treatment of recurrent severe hemoptysis due to impaction of fractured rib in the lung parenchyma |
Jee Won Chang1, Young-Hee Maeng2, Miok Kim3, Hong Sup Lee1 |
1Department of Thoracic and Cardiovascular Surgery, Jeju National University School of Medicine, Jeju, Korea 2Department of Pathology, Jeju National University School of Medicine, Jeju, Korea 3Department of Interanl Medicine, Jeju National University School of Medicine, Jeju, Korea |
Correspondence:
Jee Won Chang, Email: jeewon71@naver.com |
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Abstract |
Fifty-year-old female patient presented with recurrent severe hemoptysis which had progressed from spontaneously resolved blood-tinged sputum. She had a history of rib fracture hemothorax, and lung contusion caused by pedestrian traffic accident 3years before the time of presentation and treated with ventilator, chest tube insertion, and tracheostomy. Bronchoscopic finding was bleeding from left Jower lobar bronchus and chest CT showed 2cm-sized soft tissue mass-like lesion with central metallic density in the left lower lobe along with localized pleural thickening and old fracture of left seventh rib. Left lower lobectomy was performed. Pathology of the specimen presented that dead bone fragment was surrounded by the mass which was chronic inflammation and hematoma. She is doling well without any complications. We successfully treated recurrent severe hemoptysis due to impaction of fractured rib in the lung. |
Key Words:
Hemoptysis, Rib fractures, Lobectomy |
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