Abstract
Broncholithiasis is an unusual clinical condition characterized by the presence of calcified or ossified material within the airways. Multiple endobronchial broncholithiasis during active infection with tuberculosis is an extremely uncommon presentation. Bron-choscopy plays an important role in the diagnosis and management of broncholithiasis. Currently, there are no specific guidelines for the management of broncholithiasis. Here, we present a case report where multiple broncholiths were successfully removed in a staged manner via rigid bronchoscopy.
Highlights
The term broncholithiasis is used to denote the presence of calcified or ossified material within the bronchial lumen [1]
Though calcification is often seen in chest imaging as a sequelae of mycobacterial, fungal granulomatous lymphadenitis and silicosis, symptomatic endobronchial broncholithiasis is uncommon [1]
The patient is currently improving on anti-tubercular therapy (ATT) and repeat bronchoscopy showed no recurrence of endobronchial broncholiths (Figure 2C)
Summary
The term broncholithiasis is used to denote the presence of calcified or ossified material within the bronchial lumen [1]. It is an unusual condition with an incidence of only 0.1–0.2% of all lung diseases [2]. We present a case report about the successful bronchoscopic removal of multiple broncholiths in a staged manner via rigid bronchoscopy. Multiple endobronchial broncholithiasis during active infection with tuberculosis is an extremely uncommon clinical presentation. An entire broncholith was removed en masse using rigid forceps via the rigid bronchoscope. The patient is currently improving on ATT and repeat bronchoscopy showed no recurrence of endobronchial broncholiths (Figure 2C)
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