Two Cases of Broncholithiasis Removed by Bronchofiberscopy.

  • Nonaka Makoto
    Department of Thoracic Surgery, Nakano National Chest Hospital Department of Surgery, School of Medicine, Showa University
  • Arai Takashi
    Department of Thoracic Surgery, Nakano National Chest Hospital
  • Inagaki Keizou
    Department of Thoracic Surgery, Nakano National Chest Hospital
  • Yano Makoto
    Department of Thoracic Surgery, Nakano National Chest Hospital
  • Miyazawa Hideki
    Department of Thoracic Surgery, Nakano National Chest Hospital
  • Sato Hideyuki
    Department of Thoracic Surgery, Nakano National Chest Hospital
  • Ohuchi Motofumi
    Department of Thoracic Surgery, Nakano National Chest Hospital
  • Ohtani Naoji
    Department of Internal Medicine, Nakano National Chest Hospital
  • Suzuki Tsuneo
    Department of Internal Medicine, Nakano National Chest Hospital
  • Toyoda Emiko
    Department of Internal Medicine, Nakano National Chest Hospital

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Other Title
  • 気管支鏡下に摘出した気管支結石の2例 カルシウム分析を中心に

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Abstract

Two cases of broncholithiasis, removed bronchoscopically, are reported.<br>Case 1 was a 38-year-old female who was admitted with hemoptysis. The chest tomogram showed calcification near the right middle lobe bronchus. Bronchoscopy revealed a broncholith in B4. Component analysis showed that more than 98% of this stone consisted of calcium carbonate.<br>Case 2 was a 75-year-old male who was hospitalized because of continuous cough. The chest radiograph showed calcification and atelectasis in the right upper lobe. Bronchoscopically, right B3 was obstructed by a broncholith. After removal of the stone, the distal part of B3 was noted to be filled with pus. Analysis of the stone's composition revealed calcium phosphate (77%) and calcium carbonate (230).

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