Korean J Med.
2006 Feb;70(2):221-225.
A case of endobronchial aspergilloma in patient with collapse of right middle lobe
- Affiliations
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- 1Department of Internal Medicine, Eulji University Hospital, Seoul, Korea. hoonakr@hanmail.net
- 2Department of Thoracic Surgery, Eulji University Hospital, Seoul, Korea.
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.
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