[Pulmonary alveolar proteinosis with coincidental thoracic injury. Successful bronchoalveolar lavage with a modified fiberoptic bronchoscope].
A 65-year-old laborer suffered thoracic injury in an accident. Ribs were fractured and chest X-ray films showed coincidental ground-glass, like opacities in both lung fields. CT indicated the possibility of pulmonary alveolar proteinosis, which was confirmed by histological examination of the specimen obtained during therapeutic bronchoalveolar lavage. A modified fiberoptic bronchoscope with a wedge device was used for segmental bronchoalveolar lavage. The wedge derice on a pediatric flexible fiberoptic bronchosiope allowed irrigation of six independent pulmonary segments, with no complication. Six months after discharge, the patient had no evidence of relapse.
Tsuchiyama
T
T
Department of Pulmonary and Pathology, Kumamoto Chu-oh Hospital, Japan.
Hayasaka
S
S
Sasaki
J
J
Nakagawa
K
K
Fujino
N
N
Yoshinaga
T
T
Kiyama
T
T
Kinuwaki
E
E
Ohtsuka
Y
Y
D000368:Aged; D001992:Bronchoalveolar Lavage Fluid; D001999:Bronchoscopy; D005336:Fiber Optic Technology; D006801:Humans; D008297:Male; D011649:Pulmonary Alveolar Proteinosis / Q000150:complications / Q000628:therapy*; D013898:Thoracic Injuries / Q000150:complications*; D014057:Tomography, X-Ray Computed