Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Patient Presenting Purulent Discharge From Open Window Thoracostomy

전폐절제술 후 흉강개구부의 화농성 분비물을 보인 환자

  • Kang, In Sook (Department of Internal Medicine, College of Medicine, Ewha Womans University) ;
  • Jung, Ji-Min (Department of Internal Medicine, College of Medicine, Ewha Womans University) ;
  • Ryu, Yon Ju (Department of Internal Medicine, College of Medicine, Ewha Womans University) ;
  • Kim, Yookyung (Diagnostic radiology, College of Medicine, Ewha Womans University) ;
  • Lee, Jin Hwa (Department of Internal Medicine, College of Medicine, Ewha Womans University) ;
  • Cheon, Eun Mee (Department of Internal Medicine, College of Medicine, Ewha Womans University) ;
  • Nam, Dong Ki (Department of Internal Medicine, Yangi Hospital) ;
  • Chang, Jung Hyun (Department of Internal Medicine, College of Medicine, Ewha Womans University)
  • 강인숙 (이화여자대학교 의과대학 내과학교실) ;
  • 정지민 (이화여자대학교 의과대학 내과학교실) ;
  • 류연주 (이화여자대학교 의과대학 내과학교실) ;
  • 김유경 (이화여자대학교 의과대학 진단방사선과학교실) ;
  • 이진화 (이화여자대학교 의과대학 내과학교실) ;
  • 천은미 (이화여자대학교 의과대학 내과학교실) ;
  • 남동기 (양지병원 내과) ;
  • 장중현 (이화여자대학교 의과대학 내과학교실)
  • Received : 2004.04.08
  • Accepted : 2004.05.28
  • Published : 2004.07.30
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Abstract

A 73-year-old man who had undergone a right pneumonectomy and open window thoracostomy due to tuberculous empyema, presented with purulent discharge from the previous operation site. The computed tomography of the chest showed diffuse pleural thickening and a low attenuated lesion, with air bubbles in a dependent portion of the right hemithorax. These air bubbles were revealed to be due to 7 pieces of retained surgical gauze by flexible bronchoscopy. The patient showed marked clinical improvement with diminished purulent discharge after removal of the foreign bodies.

저자들은 흉강개구부로부터 화농성 분비물을 주소로 내원한 만성 농흉 환자에서 흉부 CT 결과 공기 방울을 포함한 저음영 병변으로 이물질을 의심하였고, 흉강개구부를 통해 굴곡성 기관지내시경을 삽입하여 관찰한 결과 흉강내 거즈를 발견하여 겸자로 제거한 예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Keywords

References

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