Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Spontaneous Hemothorax Associated with Von Recklinghausen's Disease

Von Recklinghausen 병에 동반된 자발성 혈흉 1예

  • Kang, Mi-Jeong (Department of Internal Medicine, College of Medicine, Gyeongsang National University) ;
  • Chung, Lee-Young (Department of Internal Medicine, College of Medicine, Gyeongsang National University) ;
  • Kim, Su-Jin (Department of Internal Medicine, College of Medicine, Gyeongsang National University) ;
  • Kang, Jung-Hun (Department of Internal Medicine, College of Medicine, Gyeongsang National University) ;
  • Jeong, Gyeong-Won (Department of Internal Medicine, College of Medicine, Gyeongsang National University) ;
  • Park, Dong-Jun (Department of Internal Medicine, College of Medicine, Gyeongsang National University) ;
  • Lee, Jong-Deog (Department of Internal Medicine, College of Medicine, Gyeongsang National University) ;
  • Hwang, Young-Sil (Department of Internal Medicine, College of Medicine, Gyeongsang National University)
  • 강미정 (경상대학교 의과대학 내과학교실) ;
  • 정이영 (경상대학교 의과대학 내과학교실) ;
  • 김수진 (경상대학교 의과대학 내과학교실) ;
  • 강정훈 (경상대학교 의과대학 내과학교실) ;
  • 정경원 (경상대학교 의과대학 내과학교실) ;
  • 박동준 (경상대학교 의과대학 내과학교실) ;
  • 이종덕 (경상대학교 의과대학 내과학교실) ;
  • 황영실 (경상대학교 의과대학 내과학교실)
  • Published : 1999.10.30
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Abstract

Spontaneous hemothorax may be developed as a complication of von Recklinghausen's disease. It is rare but fatal. A 60 year old man with von Recklinghausen's disease was admitted to our hospital because of left chest and shoulder pain. Radiograph of chest showed a massive left pleural effusion. Thoracentesis revealed gross blood. The peripheral angiography was done to determine the source of bleeding and its finding showed intercostal artery aneurysm in left 7th rib. No active bleeding from the aneurysm was seen. The source of the hemothorax was believed to be hemorrhage from rupture of intercostal artery aneurysm. He was inserted chest tube and treated embolization of intercostal artery aneurysm.

von Recklinghausen 병을 진단 받았거나 임상적으로 의심되는 환자에서 외상력없이 갑자기 시작된 흉통을 주소로 내원하여 흉부 X-선 소견상 흉수 소견이 관찰될 때 동맥파열에 의한 자발성 혈흉의 가능성을 의심할 수 있다. 저자들은 von Recklinghausen 병에 드물게 동반되는 늑간동맥류 파열에 의한 자발성 혈흉 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

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