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KMID : 0364019950280111058
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Korean Journal of Thoracic and Cardiovascular Surgery
1995 Volume.28 No. 11 p.1058 ~ p.1062
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Treatment of Hemoptysis Developed from both Upper Lung Fields -A case report-
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이광선
장기경/윤후식/윤치순/김훈
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Abstract
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We have experienced one case of hemoptysis which developed from both upper lung fields due to pulmonary aspergilloma combined with pulmonary tuberculosis. A 48 year old female patient was admitted with 10 years history of recurrent hemoptysis.
Chest
X-ray film revealed moderately advanced active pulmonary tuberculosis lesion on both upper lung fields, and cresentic radiolucent space between cavity wall and round radiopaque lesion on left upper lung field. Bronchial arteriogram showed
hypervascularity and extravasation of contrast media in the right lung and it was treated by bronchial artery embolization.
Hemoptysis recurred 7 months after embolization and repeat examination revealed greatly increased bronchial vasculature in the left upper lobe and therefore underwent left upper lobectomy. The pathologic result was compatible with aspergillosis,
and the
postoperative recovery was uneventful.
(Korean J Thoracic Cardiovas Sung 1995;28:1058-62)
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