title: Broncholithiasis Assessed by Bronchoscopic Saline Solution Injection.
abstract: A 68-year-old man was admitted with hemoptysis. Bronchoscopy showed bronchial obstruction at the right B(3)bii proximal to the broncholith. The distal end of the bronchoscope was placed in a wedge position at the right B(3)bii. After repeated injection of saline solution through the working channel of the bronchoscope, we observed that the broncholith was freed from the bronchial wall. The broncholith was easily removed with forceps through the working channel of the bronchoscope. Bronchoscopic saline solution injection was safe and effective in confirming the mobility of the broncholith as bronchoscopy alone could not detect the broncholiths due to bronchial occlusion.
authors.affiliation: Division of Respiratory and Infectious Diseases, Department of Internal Medicine, St. Marianna University School of Medicine, Japan.
authors.forename: Hiroki
authors.initials: H
authors.lastname: Nishine
authors.forename: Noriaki
authors.initials: N
authors.lastname: Kurimoto
authors.forename: Mariko
authors.initials: M
authors.lastname: Okamoto
authors.forename: Takeo
authors.initials: T
authors.lastname: Inoue
authors.forename: Masamichi
authors.initials: M
authors.lastname: Mineshita
authors.forename: Teruomi
authors.initials: T
authors.lastname: Miyazawa
mesh_terms: D000368:Aged; D001982:Bronchial Diseases / Q000175:diagnosis / Q000473:pathology*; D001999:Bronchoscopy / Q000379:methods; D002137:Calculi / Q000473:pathology*; D006469:Hemoptysis / Q000473:pathology* / Q000628:therapy; D006760:Hospitalization; D006801:Humans; D020347:Lithiasis / Q000175:diagnosis / Q000473:pathology*; D008297:Male; D012462:Saline Solution, Hypertonic / Q000008:administration & dosage*; D016896:Treatment Outcome
chemical_list: D012462:Saline Solution, Hypertonic