Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Massive Hemoptysis due to Dieulafoy's Disease of the Bronchus

기관지 Dieulafoy 질환에 의한 대량 객혈 1예

  • Kang, Yeh Rim (Department of Internal Medicine, School of Medicine, Kyungpook National University) ;
  • Lee, Jung Woo (Department of Internal Medicine, School of Medicine, Kyungpook National University) ;
  • Jeon, Hee Jung (Department of Internal Medicine, School of Medicine, Kyungpook National University) ;
  • Lee, Shin Yeop (Department of Internal Medicine, School of Medicine, Kyungpook National University) ;
  • Cha, Seung Ick (Department of Internal Medicine, School of Medicine, Kyungpook National University) ;
  • Park, Tae Ihn (Department of Pathology, School of Medicine, Kyungpook National University) ;
  • Park, Jae Yong (Department of Internal Medicine, School of Medicine, Kyungpook National University) ;
  • Jung, Tae Hoon (Department of Internal Medicine, School of Medicine, Kyungpook National University) ;
  • Kim, Chang Ho (Department of Internal Medicine, School of Medicine, Kyungpook National University)
  • 강예림 (경북대학교 의학전문대학원 내과학교실) ;
  • 이정우 (경북대학교 의학전문대학원 내과학교실) ;
  • 전희정 (경북대학교 의학전문대학원 내과학교실) ;
  • 이신엽 (경북대학교 의학전문대학원 내과학교실) ;
  • 차승익 (경북대학교 의학전문대학원 내과학교실) ;
  • 박태인 (경북대학교 의학전문대학원 병리학교실) ;
  • 박재용 (경북대학교 의학전문대학원 내과학교실) ;
  • 정태훈 (경북대학교 의학전문대학원 내과학교실) ;
  • 김창호 (경북대학교 의학전문대학원 내과학교실)
  • Received : 2008.12.02
  • Accepted : 2009.01.15
  • Published : 2009.01.30
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Abstract

Dieulafoy's disease of the bronchus is rare but potentially life-threatening, and should be considered in patients with massive hemoptysis, especially from unknown etiology. We report a case of a patient with massive hemoptysis due to bronchial Dieulafoy's disease. He underwent bronchial artery embolization and surgical resection, and the post-operative specimen revealed dilated and tortuous arteries in the submucosa that presented as Dieulafoy's disease of the bronchus.

기관지 Dieulafoy 질환은 기관지 점막 하부에 위치하는 일종의 동맥기형으로서, 일반적인 방사선적 및 기관지 내시경 검사에서 원인 불명의 대량 객혈 환자에서 감별 진단에 고려되어야 할 질환이다. 기관지 동맥 조영술이 진단에 도움이 될 수 있으며, 객혈의 조절을 위해 우선적으로 시도될 수 있지만, 반복적인 대량 객혈의 위험으로 외과적 절제술이 가장 효과적인 치료 방법이다. 저자들은 대량객혈로 내원하여 외과적 절제술 후 기관지 Dieulafoy 질환으로 확진된 환자 1예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

Keywords

References

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