동반된 출혈성 Dieulafoy 병변으로 인하여 객혈이 지연 진단된 1례

Abstract

Unless controled properly, each one of hematemesis and hemoptysis may be fatal. Thus discrimination between these two conditions is very important for early proper treatment. Usually discrimination of hemoptysis from hematemesis with endoscopy is simple. However in some circumstance such as recently stopped massive hemoptysis, the discrimination may be very difficult. We experienced a rare case of hemoptysis diagnosed in retard because actively bleeding antral Dieulafoy lesion had masked recently stopped massive hemoptysis.