title: [Broncholithiasis, lithoptysis and broncho-oesophageal fistula].
abstract: Broncho-oesophageal fistulas in broncholithiasis are extremely rare. Preceding lithoptysis is only seen infrequently. We report on a 68-year-old patient who complained of cough for more than 3 years. 5 months prior to admission he had hemoptysis and expectorated several greyish stones of up to 5 mm diameter. Endoscopy revealed a small excavation at the medial wall of the left main bronchus. Compared to a former CT, an actual CT scan of the thorax showed a small fistula between the oesophagus and the left main bronchus and revealed a missing calcification at this site. The patient underwent a left-sided thoracotomy with excision of the fistula, suture of the oesophagus and interponation of a flap of the M. latissimus dorsi. The demonstration of broncholith migration with CT scans before and after lithoptysis, the development of a left-sided fistula and its demonstration in the CT scan as well as endoscopically have not been reported in this combination before.
authors: Klinik für Pneumologie, Hemer. Michael.Westhoff@lkhemer.de
authors: M
authors: M
authors: Westhoff
authors: P
authors: P
authors: Litterst
authors: F
authors: F
authors: Al-Shahrabani
mesh_terms: D000368:Aged; D001982:Bronchial Diseases / Q000175:diagnosis* / Q000601:surgery; D001983:Bronchial Fistula / Q000175:diagnosis* / Q000601:surgery; D001999:Bronchoscopy; D002137:Calculi; D004937:Esophageal Fistula / Q000175:diagnosis* / Q000601:surgery; D006469:Hemoptysis / Q000175:diagnosis* / Q000209:etiology* / Q000601:surgery; D006801:Humans; D020347:Lithiasis / Q000175:diagnosis* / Q000601:surgery; D008297:Male; D013908:Thoracotomy; D014057:Tomography, X-Ray Computed