• Journal of Chest Surgery
• /
• 제24권10호
• /
• pp.1019-1023
• /
• 1991

Broncholithiasis is defined as a condition in which a concretion is present within a bronchus or a cavity in the lung communicating with a bronchus. Broncholithiasis, although recognized in antiquity by Aristotle and well known to accompany the mediastinal calcifications of tuberculosis and histoplasmosis frequently seen in our society, is rarely mentioned in recent medical literature. Esophagobronchial fistula is an uncommon finding in broncholithiasis. This report is a case of esophagobronchial fistula with broncholithiasis in 58-year-old male patient who complained paroxysmal coughing after ingestion of fluids. The fistulous tract was successfully resected and reinforced by mediastinal pleura. Broncholithiasis was confirmed by lithoptysis as the cause of previous esophagobronchial fistula.

• Journal of Chest Surgery
• /
• 제6권1호
• /
• pp.37-40
• /
• 1973

A rare case of broncholithiasis was reported, and briefly reviewed. A 44 year-old woman, showing the symptoms of hemoptysis. frequent attacks of fever,coughing and roentgenologically typical middle lobe syndrome, was surgically treated with resection. The removed lung showed typical middle lobe syndrome by broncholithiasis.

• Journal of Chest Surgery
• /
• 제19권2호
• /
• pp.259-264
• /
• 1986

Broncholithiasis is defined as a cor9ition in which a concretion is present within a bronchus or a cavity in the lung communicating with a bronchus. The usual causes of broncholithiasis are known as tuberculosis, histoplasmosis, silicosis, aspirated calculi, and a few fungal infections. It is generally accepted that the constant motion created by respiration and beating of the heart may cause the peribronchial calcified lymph node to erode into the tracheobronchial tree and to form broncholith. After the analysis of our 6 cases of broncholithiasis which were treated surgically in the Department of Thoracic Surgery, Seoul National University Hospital from 1960 to December, 1985, we could suggest that intrinsic formation of calculi should be regarded as the pathogenesis of broncholithiasis in addition to the extrinsic formation of calculi.

• Journal of Chest Surgery
• /
• 제38권6호
• /
• pp.450-453
• /
• 2005

규폐증 환자에서 기관지 결석증은 드물게 발생판다. 특히 기관지 결석증의 합병증으로 기관지식도루가 발생한 예는 매우 드물어 국내에서는 1예 보고된 바 있다. 기관지 결석증과 기관지 식도루의 수술치료는 손상되지 않은 폐실질을 최대한 보존하고, 누공의 비혈관성 조직들을 완전히 제거하여 식도와 기관지 봉합 부위를 흉막 피판이나 늑간근 피판으로 완전히 감싸주는 것이 중요하다. 저자들은 규폐증 환자에서 기관지 결석증으로 인한 기관지식도루 1예를 수술 치험하였기에 이를 보고하는 바이다.

• 대한기관식도과학회지
• /
• 제2권1호
• /
• pp.82-87
• /
• 1996

Broncholithiasis is a relatively rare condition in which a calcified mass is found either within or eroding into the bronchus. We report two cases of broncholith of the right lung. One patient is a 41 year old male with a chief complaint of chronic cough and blood tinged sputum, and the other is a 43 year old female with intermittent substernal pain for 3 years. We confirmed the broncholiths by bronchoscopy and underwent bilobectomy and right middle lobectomy, respectively. They recovered and discharged without any complication.

• Journal of Chest Surgery
• /
• 제25권1호
• /
• pp.112-116
• /
• 1992

I clinically analysed 13 cases of broncholithiasis which treated surgically and found only four cases of broncholithiasis caused by the erosion of the peribronchial lymph node named by extrinsic formation[Group II], and nine cases of broncholithiasis caused by intrinsic formation[group I] which indicates that no evidence of the erosion of the calcified per-ibronchial lymph node into the bronchial tree was found. This study is performed to see any differences between two groups regarding presenting symptoms, locations of broncholith, preoperative diagnosis, a history of pulmonary tuberculosis, a procedure of operation, and chemical compositions of broncholiths from both groups. There was no difference between two groups in the presenting symptoms, the procedure of operation, and chemical compositions of broncholiths. The broncholits from group two is located in the right middle lobe bronchus, and the broncholiths of group one were distributed at various bronchi, In group one, only five cases out of nine had preoperative diagnosis[55.5%], but in group two, all four had preoperative diagnosis. All cases had good postoperative courses without any complication and recurrences.

• Journal of Chest Surgery
• /
• 제41권3호
• /
• pp.390-394
• /
• 2008

48세 남자와 46세 여자 환자가 기관지 결석증과 페쇄성 폐렴으로 내원하였다. 기관지 내시경을 이용한 기관지 결석 제거를 시도하였으나 실패 후 개흉술을 통한 폐중엽 절제 수술을 시행 받았다. 병리학적 검사상 기관지 결석증을 동반한 흥부 방선균증으로 진단되었다. 기관지 결석증을 동반한 기관지 흉부 방선균증은 매우 드물게 발생되는 것으로 저자들은 이를 치험하였기에 보고하는 바이다.

• Tuberculosis and Respiratory Diseases
• /
• 제42권5호
• /
• pp.677-684
• /
• 1995

연구배경: 기관지 결석증은 흔치 않은 호흡기 질환으로, 비특적인 다양한 임상증상을 보이고 드물게는 대량객혈 등의 치명적인 합병증을 초래할 수 있어서 임상적으로 중요하다. 저자들은 기관지 결석증의 임상적 소견을 조사하여 문헌고찰과 함께 보고하는 바이다. 방법: 경북대학교병원 호흡기내과에서 기관지 결석증으로 진단받았던 환자 11명을 대상으로 이들의 임상양상, 방사선학적 소견, 기관지경 소견, 치료방법을 조사하였다. 결과: 1) 흔한 증상은 기침, 호흡곤란, 객혈, 열감, 농성객담 등이었으며 객석은 3예에서 있었다. 2) 방사선학적 소견은 매우 다양하였으며 그 중에서도 폐문 및 폐실질의 석회화가 가장 흔한 소견이었다. 3) 기관지 내시경 검사상 9예에서 기관지 결석을 확인할 수 있었다. 4) 결석의 화학적 성분조사는 2예에서 시행하였으며 인산칼슘염이 주된 성분이었다. 5) 기관지내시경을 통한 결석제거술은 9예 가운데 6예에서 성공하였다. 6) 원인질환은 폐결핵 9예 그리고 규폐증 1예였다. 결론: 기관지 결석증은 다양한 임상양상을 보였고 대부분 결핵과 연관되어 발생되었다. 기관지 내시경적 결석제거술은 비교적 효과적이었으며, 따라서 외과적 절제술에 선행하여 시도해 보아야할 것으로 생각된다.

• 대한수의학회지
• /
• 제62권3호
• /
• pp.23.1-23.5
• /
• 2022

A 5-year-old castrated male domestic shorthair cat was referred for further investigation of pulmonary nodules incidentally detected on thoracic radiographs. Thoracic radiographs identified ill-defined soft tissue opacity nodules with small faint mineral opacity. Thoracic computed tomography (CT) revealed that bronchial dilation and bronchial wall thickening in bilateral cranial and accessory lung lobes. Round to ellipsoid mineralized concretions were found embedded in the intrabronchial soft tissue attenuation material. Based on radiography, CT, and cytology, the patient was tentatively diagnosed as having broncholithiasis with chronic bronchitis. This report described the CT diagnosis of broncholithiasis, which has been rarely reported in a cat.

• Tuberculosis and Respiratory Diseases
• /
• 제46권1호
• /
• pp.136-141
• /
• 1999

저자 등은 만성적으로 반복되는 호흡기 감염 증상과 흉부 X-선 검사상 침윤 소견을 보여온 우폐중엽 증후군 환자에서 기관지경을 통해 기관지 폐쇄를 일으킨 이(泥)형질의 결석을 제거하였고, 여기에서 Aspergillus를 분리함으로써 확진된 Aspergillus에 의한 기관지 결석 1예를 경험하였기에 보고하는 바이다.