Kurai Makoto, Yamanda Takeshi, Koyama Sekiya, Tunoda Toshiyuki, Gono Hikari
Department of Respiratory Surgery, National Chuushin Matsumoto Hospital.
Nihon Kokyuki Gakkai Zasshi. 2002 Nov;40(11):915-8.
A 54-year-old man was admitted to our hospital with hemoptysis. Chest radiography and chest CT scanning demonstrated atelectasis in the right middle lobe. Bronchoscopy showed nothing of abnormal appearance. We performed a middle lobe lobectomy suspecting that the continuing hemoptysis was caused by the lesion in the middle lobe. Histologically, a vegetable foreign body (cryptomeria) was recognized in a bronchiole of the middle lobe, surrounded by inflamed tissues and sulfur granules. It was suggested that all of these were the cause of the hematoptysis. The patient was discharged on the fourteenth postoperative day, and has been asymptomatic since. This was a very rare case of hemoptysis caused by a vegetable foreign body and actinomycosis.
一名54岁男性因咯血入住我院。胸部X线摄影和胸部CT扫描显示右中叶肺不张。支气管镜检查未见异常外观。由于怀疑持续咯血是由中叶病变引起的，我们进行了中叶肺叶切除术。组织学检查发现中叶细支气管内有一个植物性异物（柳杉），周围是炎症组织和硫颗粒。提示所有这些都是咯血的原因。患者术后第14天出院，此后一直无症状。这是一例非常罕见的由植物性异物和放线菌病引起的咯血病例。
