Department of Pulmonary Medicine, Suleyman Demirel University Faculty of Medicine, Isparta, Turkey.
Med Princ Pract. 2014;23(1):83-5. doi: 10.1159/000351816. Epub 2013 Aug 16.
To report a case of broncholithiasis with different types of calculi in the tracheobronchial tree.
A 50-year-old male who suffered from hemoptysis presented with recurrent broncholith expectoration due to past tuberculous middle lobe syndrome. Bronchoscopic examination revealed loose and embedded broncholiths located at two different bronchi. A surgical resection was suggested, but he refused.
The diagnosis of broncholithiasis should be kept in mind in patients who had hemoptysis and calcified mediastinal lymph nodes on thorax computerized tomography, and diagnostic bronchoscopy should be done to prove the relationship of the tracheobronchial tree with a broncholith.
报告一例支气管内存在不同类型结石的支气管结石病。
一名 50 岁男性，因既往结核性中叶综合征而出现咯血，反复出现支气管结石咯出。支气管镜检查发现位于两个不同支气管内的松散嵌入性支气管结石。建议手术切除，但患者拒绝。
对于胸部 CT 显示咯血和纵隔淋巴结钙化的患者，应考虑支气管结石病的诊断，并进行诊断性支气管镜检查以证实气管-支气管树与支气管结石的关系。
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