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[Broncholithiasis Who Underwent Lung Resection:Report of a Case]
Kento Suzuki1, Yuichiro Machida, Yuuya Tomioka
1Department of Thoracic Surgery, Nippon Medical School, Tokyo, Japan.
Kyobu Geka. the Japanese Journal of Thoracic Surgery
|July 1, 2025
Summary
A rare case of broncholithiasis, a lung stone, was diagnosed in a woman with bloody sputum. Surgical removal revealed a calcified broncholith with Aspergillus infection, highlighting this uncommon condition.
Area of Science:
- Pulmonology
- Infectious Diseases
- Pathology
Background:
- Broncholithiasis, characterized by calcified material in the airways, is an uncommon condition.
- Patients may present with diverse respiratory symptoms, including hemoptysis.
- Associated infections, such as Aspergillus, can complicate the clinical picture.
Purpose of the Study:
- To report a case of broncholithiasis with concurrent Aspergillus infection.
- To describe the diagnostic and therapeutic approach for this rare condition.
- To provide a literature review on broncholithiasis.
Main Methods:
- A 42-year-old woman with hemoptysis underwent computed tomography (CT) scan.
- A nodular shadow with calcification was identified in the right lower lobe.
- Thoracoscopic partial resection and pathological examination were performed.
Main Results:
- A 5 mm broncholith was resected from the right S8 area.
- Pathology revealed a stone surrounded by lymphoid follicle formation and plasma cell infiltration.
- The broncholith was associated with Aspergillus infection.
Conclusions:
- Broncholithiasis can present with hemoptysis and may be associated with fungal infections.
- Surgical resection is a viable treatment option for symptomatic broncholiths.
- This case underscores the importance of considering rare diagnoses in patients with persistent respiratory symptoms.
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