[Bronchial dilatation due to broncholithiasis mimicking lung abscess].
A 61-year-old man who had been treated for pneumonia several times was examined because radiographs and computed tomograms disclosed a mass-like shadow associated with a cavity in the left lingular segment. The lesion was resected by video-assisted thoracoscopic surgery because it was suspected of being a lung abscess that had caused repeated episodes of inflammation. The resected specimen revealed a severely dilated peripheral bronchus due to broncholithiasis. It is often difficult to diagnose a lesion as broncholithiasis on the basis of secondary changes or calcification without bronchoscopic data. We emphasize that broncholithiasis should be suspected when a shadow resembling a lung abscess associated with symptoms of recurrent infection is found.
Horio
H
H
Department of Thoracic Surgery, Saiseikai Central Hospital, Tokyo, Japan.
Nomori
H
H
Fuyuno
G
G
Kobayashi
R
R
Morinaga
S
S
D001982:Bronchial Diseases / Q000150:complications* / Q000601:surgery; D001987:Bronchiectasis / Q000175:diagnosis / Q000209:etiology*; D002137:Calculi / Q000150:complications* / Q000601:surgery; D003937:Diagnosis, Differential; D004724:Endoscopy; D006801:Humans; D008169:Lung Abscess / Q000175:diagnosis*; D008297:Male; D008875:Middle Aged; D013906:Thoracoscopy