저자들은 대량 객혈로 발현한 흉곽 내 만성 팽창성 혈종 1예를 보고한다. 이 증례는 이전의 증례와 달리 결핵성 늑막염이나 흉부 수술, 외상의 과거력 없이 자연 발생한 증례라는 점에서 의의가 있다. 또한 무증상, 호흡곤란 등으로 발현했던 대부분의 증례와는 달리 드물게 대량객혈로 발현하였으며, 이러한 대량객혈이 기관지흉막루를 동반하여 발생하여 기관지동맥 색전술과 수술로 치료되었다는 점에서 특징적이다. 증례보고와 함께 문헌고찰을 통해 과거 보고된 흉곽 내 만성 팽창성 혈종의 임상양상에 대해 표로 정리하였다.
A chronic expanding hematoma (CEH) in the thorax is a rare and specific condition of chronic empyema. CEHs in the thorax are often associated with tuberculosis and/or previous surgical procedures. While the incidental detection of a pleural mass and dyspnea are common clinical manifestations, a few cases present with hemoptysis. We encountered a case of CEH in the thorax. This case is unique in that it developed without a prior history of tuberculosis or surgery and presented with massive hemoptysis accompanied by bronchopleural fistula. We report the third case of CEH in the thorax in Korea with a summary of the clinical characteristics of previous cases.
Reid JD, (1980) Chronic expanding hematomas: a clinicopathologic entity, JAMA
Kawachi H, (1990) A case of "chronic expanding hematoma", with an intrapulmonary fresh hemorrhage resected 25 years after thoracic injury, Nippon Kyobu Geka Gakkai Zasshi
Arinaga M, (1997) Uchida Y, Yokoyama S. A case of chronic expanding hematoma resected 37 years after lobectomy, Kyobu Geka
Hanagiri T, (1997) Chronic expanding hematoma in the chest, Ann Thorac Surg
Isogami K, (1997) Excision of a chronic expanding hematoma developing after thoracoplasty: a case report, Kyobu Geka
Maniwa Y, (1997) A surgical case for the huge chronic expanding hematoma developed in the thoracic cavity, Kyobu Geka
Shimokawa T, (1997) Chronic expanding hematoma following pneumonectomy managed with a thoracic balloon: a case report, Kyobu Geka
Mori S, (1998) A case of intrathoracic chronic expanding hematoma, Kyobu Geka
Matsuge S, (2000) Five cases of surgically resected chronic expanding hematoma in the chest, Kyobu Geka
Uramoto H, (2000) Chronic expanding hematoma in the chest, J Cardiovasc Surg (Torino)
Roper CL, (2001) Chronic expanding hematoma of the thorax, J Thorac Cardiovasc Surg
Hwang GL, (2003) Chronic expanding hematoma of the thorax, AJR Am J Roentgenol
Kita Y, (2003) Intrathoracic chronic expanding hematoma; report of a case, Kyobu Geka
Takanami I, (2003) Successful treatment of huge chronic expanding hematoma after thoracoplasty, J Thorac Cardiovasc Surg
Ehara S, (2004) Chronic expanding hematoma: mystery or misnomer, AJR Am J Roentgenol
Ogata J, (2004) The management of extirpation of chronic expanding hematoma after thoracoplasty in the chest, Masui
Okubo K, (2004) Rupture of a chronic expanding hematoma of the thorax into lung parenchyma, J Thorac Cardiovasc Surg
Sato M, (2004) Life threatening chronic expanding hematoma of the thorax, J Cardiovasc Surg (Torino)
Endo S, (2005) 19. Endo S, Hasegawa T, Sato Y, Sohara Y. Thoraco-pleuropneumonectomy for rupture of a huge chronic hematoma of the thorax, Jpn J Thorac Cardiovasc Surg
Sughiura T, (2006) Chronic expanding intrapericardial hematoma after pericardial paracentesis, J Card Surg
Athanassiadi K, (2007) A different surgical approach for an intrathoracic expanding hematoma, J Thorac Cardiovasc Surg
권용수 ; 고원중 ; 김태성 ; 이경수 ; 김병태 ; 심영목, (2007) Chronic Expanding Hematoma of the Thorax, Yonsei Medical Journal
Kainuma S, (2008) Chronic expanding intrapericardial hematoma after coronary artery bypass surgery presenting with congestive heart failure, Ann Thorac Cardiovasc Surg
Kunisawa S, (2008) Chronic expanding hematoma in sternum resected 5 years after median sternotomy, Ann Thorac Surg
전은경 ; 김승준 ; 송정섭 ; 박성학 ; 김영균 ; 이숙영 ; 문화식 ; 정문경 ; 김건민 ; 강지영 ; 박현진, (2008) 기관지 흉막루를 통해 대량 객혈을 한 만성 팽창성 혈종 1예, Tuberculosis and Respiratory Diseases
Labadie EL, (1976) Physiopathogenesis of subdural hematomas. Part 1: histological and biochemical comparisons of subcutaneous hematoma in rats with subdural hematoma in man, J Neurosurg
Lewis VL Jr, (1987) Chronic expanding hematoma, Plast Reconstr Surg
Daw JL, (1996) Chronic expanding hematoma within a periprosthetic breast capsule, Plast Reconstr Surg
Hamada K, (2005) FDG-PET imaging for chronic expanding hematoma in pelvis with massive bone destruction, Skeletal Radiol
Irisawa M, (2005) Chronic expanding hematoma in the retroperitoneal space: a case report, Radiat Med
Tada H, (2005) Chronic expanding hematoma in the temporal region, J Craniofac Surg
Yamasaki T, (2005) Chronic expanding hematoma in the psoas muscle, Int J Urol
Pichon H, (2006) Chronic expanding hematoma of the soleus: a case report, Rev Chir Orthop Reparatrice Appar Mot