Tuberc Respir Dis.  1968 Sep;15(3):37-38. 10.4046/trd.1968.15.3.37.

Case Report of Broncholithiasis

• KMID: 2529182
• DOI: http://doi.org/10.4046/trd.1968.15.3.37

Abstract

Case Report A 23-years.old single lady was admitted with severe hemoptysis in 1965 and diagnosis was made of broncholithiasis. Second admission was on February 24, 1968 to our Chest Clinic at Severance Hospital with the chief complaints of cough, repeated hemoptysis & pneumonitis like symptoms. Earlier she coughed up small amount of yellowish substance. Sputum tests for acid-fast bacilli and various suppurative organisms were negative. Routine blood and urine tests were normal. The plain chest roentgenogram showed calcified densities varying in size in the left upper and mid zone, and also a new area of pneumonic consolidation at the left mid zone when compared with the previous films taken serveral years before. Bronchoscopy and pulmonary function tests were normal. She was put on lNH for one year previously, put on Triple Anti-Tbc. chemotherapy & Antibiotics during admission, was improvements of the subjective symptoms and on the roentgenogram. Left upper lobectomy was done on March 22, 1968. At operation there were moderate pleural adhesions and three hard calcified stones. Two were in the left upper love, one impacted in the left upper bronchus. The other was attached to the left pulmonary artery. Another one was on the surface of left lower lobe. The sizes were 2. 5 x 1. 0cm and 0. 5 x 1. 0cm. Pathologic diagnosis was calcified tuberculous broncholithiasis with chronic granulomatous inflammation and caseous tuberculosis.