• 제목/요약/키워드: Middle lobe syndrome

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간 스캔상 공간점유병소의 소견을 보인 Budd-Chiari증후군 - 1예 보고 - (A Case of Budd-Chiari Syndrome Which Shows Space Occupying Lesion on Liver Scan)

  • 이정해;이윤하;서대원;장태종;황인섭;김영중;김소연;이권전
    • 대한핵의학회지
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    • 제28권3호
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    • pp.397-401
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    • 1994
  • 저자들은 간 스캔상 간 우엽 전반에 걸친 냉소를 보여 공간점유병소로 생각되었던 Budd-Chiari증후군 1예를 경험하였다. 본례는 복부팽만을 주소로 본원 내원하여 시행한 간 스캔상 간 우엽 전반에 걸친 집적감소를 보여 만성 간 질환에 동반된 간 종괴로 생각하였으나 복부 전산화 단층촬영과 자기공명촬영에서 간우엽의 경색이 의심되었다. 자기공명혈관촬영과 초음파 도플러를 시행하였으며 우측 간정맥과 중앙 간정맥폐쇄를 보여 Budd-Chiari증후군으로 진단된 경우이다. 하대정맥의 폐쇄소견은 보이지 않았다. 이를 문헌고찰과 함께 보고하는 바이다.

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중엽증후군과 폐렴을 유발한 기관지의 성장을 보이는 기관지 지방종 1예 (A Case of Bronchial Lipoma with Extrabronchial Growth Causing Middle Lobe Syndrome and Pneumonia)

  • 박세종;장경순;김도민;권재성;이성근;김명선;강종렬;김응수;이병두
    • Tuberculosis and Respiratory Diseases
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    • 제47권4호
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    • pp.549-556
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    • 1999
  • Benign pulmonary tumors are rare entities, and among them bronchial lipomas are the most uncommon. Up to date, about 80 cases have been reported in the English literature. But, the bronchial lipoma with extrabronchial growth causing middle lobe syndrome and pneumonia is extremely rare. Bronchial lipomas, mainly arising from normal fatty tissue of the proximal portion of the lobar or segmental bronchi, are histologically benign. But if diagnosis and treatments are delayed, they can produce extensive pulmonary parenchymal damage and irreversible brochiectasis distally. So whenever possible, the treatment of choice is resection by means of bronchoscopy via early diagnosis. But if endoscopic removal is not possible because the distal end of the tumor could not be visualized by fiberoptic bronchoscopy or if the nature of the tumor is unclear, surgery is necessary, with lobectomy or pneumonectomy being required in most cases due to the extensively damaged pulmonary parenchyma. We present a case of bronchial lipoma with extrabronchial growth, with a review of the literature and report of an unusual case.

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양성(良性) 종격동(縱隔洞) 종진(腫疹)의 외과적(外科的) 치료(治療) (Surgical Treatment of Benign Mediastinal Tumor)

  • 김병노
    • Journal of Chest Surgery
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    • 제9권1호
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    • pp.83-89
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    • 1976
  • This is a report on the cases of benign mediastinal tumors in the Department of Thoracic and Cardiovascular Surgery, Chonnam University Hospital during the period from 1961 to 1975. Age distribution was from 18 to 62 years old with the highest incidence in the 3rd decade, and sex ratio of male to female was 7 : 8. The tumor were classified as follows; 6 cases of teratoma 5 cases of neurogenic tumor one case of pericardial cyst one case of cystic hygroma one case of dermoid cyst one case of bronchogenic cyst. The symptomatic patients were 10 cases (66.7%) and asymptomatic patients were 5 cases (33.3%), who were found incidentally by routine chest n-ray. The symptoms occurred by compression to the adjacent nerve system in 7 cases, by perforation into the lung with infection in one case of teratoma and by infection of bronchogenic cyst in one case and of teratoma in one case. Complications were Pancoast's syndrome including Horner's syndrome 2 cases, middle lobe syndrome 2 cases, intercostal neuralgia 1 case and bronchitis 1 case. All tumors were surgically resectable with good recovery. In all 10 cases of symptomatic patients, their symptoms disappeared dramatically after operation.

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양성 종격동종양의 외과적치료에 대한 임상적 고찰 (Clinical Evaluation of Surgical Treatment of Benign Mediastinal Tumors)

  • 지행옥
    • Journal of Chest Surgery
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    • 제3권2호
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    • pp.121-126
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    • 1970
  • This is a report on a total of 8 cases of benign mediastinal tumors and cysts in Department of Thoracic Surgery, Chonnam University Hospital during the period from 1961 to 1969. The patients age was distributed between 18 and 38 year old with the highest incidence in the age group of second decade. Sex ratio of male to female was 3: 5. The tumors were classificed as follow; 3 case:, of neurogenic tumors, 2 cases of teratomas, one case of pericardial cyst, one case of cystic hygroma, and one case of brochogenic cyst. The symptomatic patients were 5 cases(62. 6%) and asymptomatic patients were 3 cases(37.5%). The symptomatic patients had the symptoms not referable to their lesion and the mediastinal tumors of asymptomatic patients were incidently found by routine chest X-ray. The Symptoms occurred by compression to adjacent nerve system in 3 cases. by perforation into the lung with infection in one case and by infection of bronchial cyst in one case. The complications were Pancoast's syndrome including Horner's syndrome(2 cases), middle lobe syndrome (one case), bro:1chial infection(one case) and intercostal neuralgia(one case). All tbe tumors were surgicai[y resectable with good recovery postoperatively. In 5 cases of the symptomatic patents, their symptoms were disappeared dramatically after operation.

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마이코플라즈마 폐렴 환아에서 병발한 가와사키병 1례 (A Case of Kawasaki Disease with Mycoplasma Pneumonia)

  • 이세민;박소은;김연우;홍정연
    • Clinical and Experimental Pediatrics
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    • 제48권4호
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    • pp.438-442
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    • 2005
  • 우리나라에서는 아직 마이코플라스마 폐렴이 가와사키병에 병발한 경우가 보고된 적이 없으며 마이코플라스마 폐렴의 특성상 다양한 호흡기 외의 증상이 비교적 흔하게 동반되는 점 등을 고려할 때, 적절한 치료에도 불구하고 지속되는 발열을 보이는 마이코플라스마 폐렴의 경우 반드시 비전형적 가와사키병이 감별되어야 할 것이며, 이미 언급한 바와 같이 초항원(superantigen)에 근거해 가와사키병의 병태생리를 규명하고자 하는 연구들을 지지할 수 있는 또 하나의 근거로 생각되어 본 증례를 보고하는 바이다.