Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A 32 Years-old Female Accompanied by the Loss of Lung Volume, Complained of Hemoptysis

객혈을 주소로 폐용적 감소를 동반한 32세 여자환자

  • Seo, Ki-Hyun (Department of Internal Medicine, Soonchunhyang University, College of Medicine) ;
  • Moon, Seung-Hyug (Department of Internal Medicine, Soonchunhyang University, College of Medicine) ;
  • Kim, Yong-Hoon (Department of Internal Medicine, Soonchunhyang University, College of Medicine)
  • 서기현 (순천향대학교 의과대학 내과학교실) ;
  • 문승혁 (순천향대학교 의과대학 내과학교실) ;
  • 김용훈 (순천향대학교 의과대학 내과학교실)
  • Published : 2002.03.30
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Abstract

A 32-year-old woman presented with cough and hemoptysis. The radiologic findings showed increased interstitial markings in the right lung, a slightly decreased lung volume in the RLL and a hypoplastic right pulmonary artery with collaterals in the mediastinum and subpleural area. The pulmonary angiography showed an abrupt occlusion of the right lower pulmonary artery. The echocardiographic findings indicated pulmonary hypertension. A doppler leg ultrasonograph disclosed that the left popliteal vein was occluded with collateral veins, not filling the defect in the venous lumen. The D-dimer increased 1.0 ug/ml. This condition was initially misdiagnosed as a congenital pulmonary artery agenesis. Finally, a chronic pulmonary thromboembolism with a deep vein thrombosis was confirmed.

저자들은 객혈을 주소로 내원하여 선천성 폐동맥 부발육증으로 오인한 32세 여자환자를 폐색전증으로 진단하였고, 항응고제 투여를 통해 호전된 예를 문헌고찰과 함께 보고하는 바이다.

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