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Case Reports
. 2015;54(12):1527-30.
doi: 10.2169/internalmedicine.54.3722. Epub 2015 Jun 15.

Broncholithiasis Assessed by Bronchoscopic Saline Solution Injection

Hiroki Nishine  1 , Noriaki Kurimoto, Mariko Okamoto, Takeo Inoue, Masamichi Mineshita, Teruomi Miyazawa
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Free article
Case Reports

Broncholithiasis Assessed by Bronchoscopic Saline Solution Injection

Hiroki Nishine et al. Intern Med. 2015.
Free article

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.

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