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[Middle lobe syndrome].

F Vandenbos¹, G Passail

¹Service de Pneumologie, Hôpital Intercommunal de Fréjus/Saint-Raphaël, 240, avenue de Saint-Lambert, BP 110, 83608 Fréjus Cedex. vandenbosf@aol.com

Revue De Pneumologie Clinique

|October 7, 2005

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Broncholithiasis, a rare condition often linked to tuberculosis, occurs when a calcified lymph node erodes into the airway. Diagnosis can be unexpected during endoscopy or imaging, as seen in a chronic cough case.

Area of Science:

Pulmonology
Medical Imaging
Infectious Disease Epidemiology

Background:

Broncholithiasis is an uncommon condition, frequently observed as a sequela of tuberculosis, particularly in regions like France.
The primary etiology involves the erosion and extrusion of calcified lymph nodes into the bronchial lumen.
Clinical presentations are often non-specific, leading to diagnostic challenges.

Observation:

A case of broncholithiasis presented in a patient experiencing chronic cough.
Diagnostic procedures, including imaging and endoscopy, can reveal broncholiths unexpectedly.
Flexible bronchoscopy (fibroscopy) was instrumental in visualizing the broncholith in this patient.

Findings:

The patient's chronic cough was attributed to broncholithiasis.

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Endoscopic examination confirmed the presence of a broncholith within the bronchial lumen.

This case highlights the diagnostic utility of fibroscopy in identifying broncholithiasis.

Implications:

Early diagnosis of broncholithiasis is crucial for effective management.
Understanding the pathogenesis, particularly the link to tuberculosis, aids in clinical suspicion.
Fibroscopy remains a valuable tool for definitive diagnosis and potential intervention in broncholithiasis.