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[Bronchospasm and hemoptysis. Could have the same cause?].

C Damas1, V Hespanhol

  • 1Serviço de Pneumologia, Hospital de S João, Faculdade de Medicina - Porto.

Revista Portuguesa De Pneumologia
|April 13, 2005
PubMed
Summary

A rare case of broncholithiasis, a bronchial stone, caused severe airway obstruction and hemoptysis in a former bird breeder. Surgical removal led to symptom resolution, highlighting the need to consider this condition in respiratory cases with calcifications.

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Area of Science:

  • Pulmonology
  • Medical Case Reports

Background:

  • Broncholithiasis, defined as the presence of stones in the bronchial tree, is an exceptionally rare condition.
  • It presents with varied clinical manifestations, necessitating consideration in patients with respiratory symptoms and hilar or mediastinal calcifications.

Observation:

  • A 46-year-old male, with a history of smoking and bird breeding, presented with refractory bronchospasm and hemoptysis.
  • Flexible bronchoscopy revealed a necrotic endobronchial mass obstructing the right main bronchus.
  • Rigid bronchoscopy identified a broncholith and a bronchial fistula, with partial removal of the stone.

Findings:

  • The case highlights the diagnostic challenges and successful management of broncholithiasis.
  • Endobronchial stones can cause significant airway compromise and bleeding.

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Implications:

  • This case underscores the importance of considering broncholithiasis in the differential diagnosis of obstructive airway diseases, especially when calcifications are present.
  • Prompt diagnosis and intervention, including bronchoscopic removal, can lead to favorable patient outcomes.