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Original Article
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Korean J Med. 2006;70(2):221-225.
- 증례 : 폐 우중엽 허탈 환자에서 발생한 기관지내 아스페르길루스종 1예 (Case Reports : A case of endobronchial aspergilloma in patient with collapse of right middle Lobe)
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엄우연, 김남인, 김수웅, 이병훈, 김상훈, 안영수, 박만실
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Woo Youn Eom, Nam In Kim, Soo Woong Kim, Byoung Hoon Lee, Sang Hoon Kim, Young Soo Ahn, Man Sil Park
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서울의대 내과
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- Abstract
- Pulmonary aspergilloma usually results from the ingrowths of the colonized Aspergillus in
the damaged bronchial tree, pulmonary cyst or cavities of patients with underlying lung
diseases. We experienced a case of endobronchial aspergilloma developed in a healthy female
patient with asymptomatic collapse of right middle lobe (RML). She visited our clinic with
intermittent hemoptysis for one year. The chest X-ray and HRCT showed severe collapse of
the RML and multiple calcifications of peribronchial nodes around the proximal part of RML
bronchus. Bronchoscopy revealed an aspergilloma in theorifice of the lateral segmental bronchus
of RML. Patient had undergone RML and right lower lobe resection because of recurrent
hemoptysis in spite of medical therapy. After surgery patient's symptoms were relieved. We
present this unusual case with a review of the literature.(Korean J Med 70:221-225, 2006)
Key Words : Aspergillosis, Bronchoscopy, Immunocompetence, Hemoptysis
Keywords :Aspergillosis, Bronchoscopy, Immunocompetence, Hemoptysis
