title: [Pulmonary alveolar proteinosis with coincidental thoracic injury. Successful bronchoalveolar lavage with a modified fiberoptic bronchoscope].
abstract: 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.
authors.affiliation: Department of Pulmonary and Pathology, Kumamoto Chu-oh Hospital, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Tsuchiyama
authors.forename: S
authors.initials: S
authors.lastname: Hayasaka
authors.forename: J
authors.initials: J
authors.lastname: Sasaki
authors.forename: K
authors.initials: K
authors.lastname: Nakagawa
authors.forename: N
authors.initials: N
authors.lastname: Fujino
authors.forename: T
authors.initials: T
authors.lastname: Yoshinaga
authors.forename: T
authors.initials: T
authors.lastname: Kiyama
authors.forename: E
authors.initials: E
authors.lastname: Kinuwaki
authors.forename: Y
authors.initials: Y
authors.lastname: Ohtsuka
mesh_terms: 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