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Tuberculosis & Respiratory Diseases

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Vol.56 No.1
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기관지내 종양 형태로 나타난 Rasmussen 동맥류 1예

A Case of Endobronchial Mass-LikeRasmussen Aneurysm

Tuberculosis & Respiratory Diseases / Tuberculosis & Respiratory Diseases,
2004, v.56 no.1, pp.85-90
이정록 (가톨릭대학교)
김치홍 (가톨릭대학교)
문화식 (가톨릭대학교)
송정섭 (가톨릭대학교)
박성학 (가톨릭대학교)
이수화 (가톨릭대학교)
정성훈 (가톨릭대학교)
송소향 (〃)
이정록, 김치홍, 문화식, 송정섭, 박성학, 이수화, 정성훈, & 송소향. (2004). 기관지내 종양 형태로 나타난 Rasmussen 동맥류 1예. Tuberculosis & Respiratory Diseases, 56(1), 85-90.
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Abstract

A 69 year-old female was admitted to the hospital due to intermittent hemoptysis for 1 month. Emergent bronchoscopy revealed mass-like lesion almost completely obstructing right intermediate bronchus with multiple hemorrhagic spots. Bronchial arterial angiography was performed but failed to find out actively bleeding vessel. Spiral computerized tomography of the chest showed contrast enhanced bulging of the posterior portion of right main bronchus into the lumen of right intermediate bronchus suggesting Rasmussen aneurysm. The AFB smear of bronchial washing fluid was positive.Pulmonary arterial angiography and embolization were not performed due to improvement of clinical course with medical conservative care. Here we report a case of endobronchial mass-like Rasmussen aneurysm grossly suspected by bronchoscopy and diagnosed by spiral CT, which successfully managed by medical conservative care with antituberculous agents.(Tuberculosis and Respiratory Diseases 2004, 56:85-90)

keywords
Rasmussen aneurysm, hemoptysis, bronchoscopy., Rasmussen aneurysm, hemoptysis, bronchoscopy.

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