Broncholithiasis: CT features in 15 patients.

Conces, Dewey J.; Tarver, Robert D.; Vix, Vernon A.

doi:10.2214/ajr.157.2.1853800

Cited by 92 publications

(50 citation statements)

References 6 publications

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“…Wheezing may occasionally occur due to mechanical obstruction of the airways. According to the 15-case series studied by CONCES et al [9], lithoptysis is not frequent, but the present authors9 patient presented recurrent lithoptysis with expectoration of multiple broncholiths.…”

Section: Discussionmentioning

confidence: 49%

“…CT allows a better visualisation of the lesions and it is especially useful for establishing the relationship between the calcification and the bronchi [9]. Since bronchoscopy was normal, the CT scans provided essential information for the diagnosis of broncholithiasis in this patient, by clearly showing broncholiths closely related to the involved bronchi.…”

Section: Discussionmentioning

confidence: 87%

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Broncholithiasis and lithoptysis associated with silicosis

Antao

Pinheiro²,

Jansen³

2002

European Respiratory Journal

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A case of broncholithiasis associated with massive silicosis is reported, showing a rare aspect of parenchymal lesions generating broncholiths as well as the presence of recurrent lithoptysis, with subsequent regression of radiological lesions.Aetiological, clinical, physiopathological, and radiological aspects of the disease are discussed, demonstrating the importance of the use of computed tomography in diagnosis. The mineralogical analysis of expectorated fragments is also shown. Eur Respir J 2002; 20: 1057- Broncholithiasis is characterised by bronchial erosion or distortion due to hilar or parenchymatous calcifications and is usually related to infectious aetiologies, such as tuberculosis or histoplasmosis [1]. Its association with silicosis is quite rare, and in the few reports described in medical literature, broncholithiasis has occurred only as a result of disorders of the lymph nodes [2][3][4][5].The present authors report a unique case of a patient with silicosis, who presented parenchymatous calcified lesions that eroded into the bronchial lumen leading to lithoptysis, with elimination of w100 broncholiths and impressive reduction of radiological lesions. Case reportA 43-yr-old male presented with productive cough with bloody sputum for 5 months, wheezing and dyspnoea on exertion. The patient also reported the expectoration of small calculi of greyish colour and stony consistency, which werey2 mm in diameter and resembled "grape seeds" (fig. 1).The patient had a 28-pack-yr history of cigarette use. Twenty-six yrs before presentation, the patient had worked as a stone crusher in the stone working industry for a 1-yr period, and was exposed to a large amount of granite and quartz dust, but did not use any respiratory protective equipment. The patient had also occasionally crushed stones from a nearby asbestos mine. During his subsequent jobs as a painter and doorman, there was no exposure to silica dust.Physical examination disclosed diminished breath sounds and sparse ronchi, as well as finger clubbing. The spirometry demonstrated severe airflow obstruction with a forced expiratory volume in one second (FEV1) of 1.17 L (41% of predicted) and FEV1/forced vital capacity of 50% pred. The first chest radiograph revealed bilateral calcified apical coalescence areas, compatible with massive silicosis, lung hyperinflation, hilar eggshell calcifications of the lymph nodes and bilateral diaphragmatic, calcified, pleural plaques ( fig. 2a). The patient underwent a fibreoptic bronchoscopy and the endoscopical appearance was normal. Sputum and bronchoalveolar lavage analyses did not reveal

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Section: Discussionmentioning

confidence: 49%

Section: Discussionmentioning

confidence: 87%

Broncholithiasis and lithoptysis associated with silicosis

Antao

Pinheiro²,

Jansen³

2002

European Respiratory Journal

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“…46 CT CT shows the calcified lymph node associated with bronchial obstruction, atelectasis, obstructive pneumonitis, branching calcification, focal hyperinflation, or bronchiectasis. 12 …”

Section: Broncholithiasismentioning

confidence: 99%

Advances in Imaging Chest Tuberculosis: Blurring of Differences Between Children and Adults

Andronikou

Vanhoenacker

Backer

2009

Clinics in Chest Medicine

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“…Difficulty in determining the relationship between lymph node and the bronchus is due to volume averaging, which can be decreased by scanning with thinner sections. 6,7 Bronchoscopy is useful to locate and extract broncholiths, but fails to detect adjacent calcifications because it is obscured by the inflammatory process.…”

Section: Case Reportmentioning

confidence: 99%

“…Other differential diagnosis are endobronchial infections, calcified fungal balls, endobronchial fungal infections, 6,7 calcified endobronchial tumours, tracheo-bronchial diseases with mural calcifications (Amyloidosis), hypertrophied bronchial artery with intraluminal protrusion. The complications are rarely bronchoesophageal or bronchoaortic fistulas.…”

Section: Case Reportmentioning

confidence: 99%

Lithoptysis Associated With Chronic Pulmonary Tuberculosis

Rani¹,

Sarada²,

Krishnaveni³

2014

jemds

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OBJECTIVE: A case of lithoptysis i.e., coughing out calcified material is reported, showing a rare aspect of peribronchial calcified tuberculous lymphadenopathy, eroding bronchial wall and resulting in lithoptysis. The Clinical, Pathological and Radiological importance in diagnosing and assessment of disease with emphasis on Spiral CT scan as important imaging modality is discussed. Infection by Mycobacterium tuberculosis followed by Histoplasma capsulatum is currently the main causes of broncholithiasis resulting in lithoptysis 2 .

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Broncholithiasis: CT features in 15 patients.

Abstract: Broncholithiasis

Cited by 92 publications

References 6 publications

Broncholithiasis and lithoptysis associated with silicosis

Broncholithiasis and lithoptysis associated with silicosis

Advances in Imaging Chest Tuberculosis: Blurring of Differences Between Children and Adults

Lithoptysis Associated With Chronic Pulmonary Tuberculosis

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