A case of abnormally exposed nodular shaped-bronchial vessel occurred massive hemorrhage during bronchoscopy

기관지 내시경 하 조직 생검 중 대량 출혈을 일으킨 기관지 강 내 돌출된 결절모양의 혈관 1예

  • Chae, Soo-Youb (Department of Internal medicine, Seoul Adventist Hospital) ;
  • You, Moon-Bin (Department of Internal medicine, Seoul Adventist Hospital) ;
  • Kang, Ki-Hoon (Department of Internal medicine, Seoul Adventist Hospital) ;
  • Lee, Byung-Soo (Department of Internal medicine, Seoul Adventist Hospital) ;
  • Chae, Eun-Ha (Department of Internal medicine, Seoul Adventist Hospital) ;
  • Joo, Eun-Hyun (Department of Internal medicine, Seoul Adventist Hospital) ;
  • Kim, Myung-Chan (Department of Internal medicine, Seoul Adventist Hospital) ;
  • Cho, Wook-Hyun (Department of Internal medicine, Seoul Adventist Hospital) ;
  • Oh, Yong-Leul (Department of Internal medicine, Seoul Adventist Hospital) ;
  • Lee, Soon-Il (Department of Internal medicine, Seoul Adventist Hospital) ;
  • Kim, Hui-Jung (Department of Internal medicine, Seoul Adventist Hospital) ;
  • Lee, Hyo-Jin (Department of Anatomical Pathology, Seoul Adventist Hospital)
  • Published : 2002.08.30

Abstract

A 43 years old woman with a previous history of healed tuberculosis presented with a recurrent hemoptysis. On a bronchoscopy inspection, three nodular shaped mass-like lesions (0.5cm in diameter) were found on the right lower lobar bronchus. Massive hemoptysis occurred when the specimen were taken during bronchoscopy. The bleeding could not be controlled by non-surgical treatment. Consequently, she underwent a right lower lobectomy in order to control the bleeding. The patient died of respiratory failure 3 days later. A bronchoscopic biopsy revealed an abnormal blood vessel just beneath the bronchial respiratory epithelium.

저자 등은 종양으로 오인되어 생검 시 대량 객혈을 동반한 기관지 강 내 비정상혈관 1예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

Keywords