도플러초음파로 진단한 폐분리증 1례

A Case of Pulmonary Sequestration Diagnosed by Doppler Sonography

  • 권성호 (을지의대 을지병원 내과) ;
  • 하형근 (을지의대 을지병원 내과) ;
  • 정명진 (을지의대 을지병원 방사선과) ;
  • 박만실 (을지의대 을지병원 흉부외과) ;
  • 배인규 (을지의대 을지병원 내과) ;
  • 김상훈 (을지의대 을지병원 내과) ;
  • 안영수 (을지의대 을지병원 내과)
  • Kwon, Sung-Ho (Department of Internal Medicine, Eulji Hospital, Eulji Medical College) ;
  • Ha, Hyoung-Keun (Department of Internal Medicine, Eulji Hospital, Eulji Medical College) ;
  • Chung, Myoung-Jin (Department of Radiology, Eulji Hospital, Eulji Medical College) ;
  • Park, Man-Sil (Department of Thoracic Surgery, Eulji Hospital, Eulji Medical College) ;
  • Bae, In-Kyu (Department of Internal Medicine, Eulji Hospital, Eulji Medical College) ;
  • Kim, Sang-Hoon (Department of Internal Medicine, Eulji Hospital, Eulji Medical College) ;
  • Ahn, Young-Soo (Department of Internal Medicine, Eulji Hospital, Eulji Medical College)
  • 발행 : 2002.07.30

초록

저자들은 반복적인 폐렴의 병력을 가지고 있는 여성에서 도플러초음파를 이용하여 하행복부대동맥으로부터 분리폐로 체동맥의 주행을 확인하여 폐분리증을 진단하고 이를 수술로 확인하였기에 문헌고찰과 함께 보고하는 바이다.

Pulmonary Sequestration is a rare congenital malformation during embryouic development which results in a cystic mass of nonfunctioning lung tissue. A diagnosis of a pulmonary sequestration has traditionally relied upon identifying the pathological arterial vessels by arteriography, computed tomography, and magnetic resonance imaging. We reported a case of pulmonary sequestration diagnosed by Doppler sonography and subsequent CT angiography. A 21-year-old-woman admitted to hospital for an investigation of recurrent pneumonia with left lower chest pain. A doppler ultrasound sonography showed an aberrant blood supply from the descending thoracic aorta to the left lower chest lesion. The pulmonary sequestration was confirmed by the subsequent CT angiograph.

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