Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Lung Abscess Combined with Mediastinal Air Shadow

종격동 공기음영을 동반한 폐농양

  • Choi, In-Keun (Department of Internal Medicine, Korea University, School of Medicine) ;
  • Lee, Sin-Hyung (Department of Internal Medicine, Korea University, School of Medicine) ;
  • Lee, Sang-Youb (Department of Internal Medicine, Korea University, School of Medicine) ;
  • Cho, Jae-Youn (Department of Internal Medicine, Korea University, School of Medicine) ;
  • Shim, Jae-Jeong (Department of Internal Medicine, Korea University, School of Medicine) ;
  • In, Kwing-Ho (Department of Internal Medicine, Korea University, School of Medicine) ;
  • Yoo, Se-Hwa (Department of Internal Medicine, Korea University, School of Medicine) ;
  • Kang, Kyung-Ho (Department of Internal Medicine, Korea University, School of Medicine)
  • 최인근 (고려대화교 의과대학 내과학교실) ;
  • 이신형 (고려대화교 의과대학 내과학교실) ;
  • 이상엽 (고려대화교 의과대학 내과학교실) ;
  • 조재연 (고려대화교 의과대학 내과학교실) ;
  • 심재정 (고려대화교 의과대학 내과학교실) ;
  • 인광호 (고려대화교 의과대학 내과학교실) ;
  • 유세화 (고려대화교 의과대학 내과학교실) ;
  • 강경호 (고려대화교 의과대학 내과학교실)
  • Published : 1999.01.30
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Abstract

A 55-year-old-female was admitted for the evaluation of mass shadow on chest film. She complained of fever, chilling, cough, and whitish sputum. She did not give any history of choking or coughing when she ate. The chest CT showed lung aoocess in right lower lobe with extension of infiltration and air shadow in mediastinum. The esophagoscopy and esophagography were performed to find the cause of mediastinal infiltration, and bronchoesophageal fistula was detected in esophagography. The patient complained of severe chilling and febrile sensation after esophagography, mediastinitis aggravated by thin barium was suggested clinically. So, surgical drainage of lung abscess and thin barium was done urgently. One month after operation, follow-up of esophagoscopy and esophagography were done, the bronchoesophageal fistula was not detected.

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