Journal of Okayama Medical Association
Published by Okayama Medical Association

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Full-text articles are available 3 years after publication.

喀血を主訴に来院した気管支結石の1例

Ishii, Yasunori
Inoue, Fumiyuki
Shin, Ryuhan
Ishizuka, Shinji
Funaki, Naoto
Muramatsu, Tomoyoshi
Kamikawa, Yasuaki
Tanaka, Noriaki
Orita, Kunzo
Oda, Koji
Seo, Kenji
Thumnail 106_299.pdf 1.63 MB
Abstract
A 62-year-old male was admitted because of hemoptysis. The chest X-ray showed an infiltrative shadow in the right upper lung field. Tomograms and CT scans also showed an infiltrative shadow and small calcifications in the same field. Examination by bronchoscopy revealed bronchial bleeding from the depth of the right B1b. Although the detailed view was unclear due to bleeding, we did not find any growth or any mucosal abnormality. We examined only the bronchial washing cytology. The result was Papanicolaou class Ⅱ. However, we could not rule out malignancy, so we decided to perform a right upper lobectomy. A bron-cholith was seen in the B1b and a hematoma was also seen on its periphery. The stone components were calcium carbonate (74%) and calcium phosphate (26%), suggesting that the stone was caused by mucus retention.
Keywords
気管支結石
喀血
Broncholithiasis
Hemoptysis
Note
原著
ISSN
0030-1558
NCID
AN00032489