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Ann Thorac Surg 2005;79:1774-1776
© 2005 The Society of Thoracic Surgeons

Case report

Therapeutic Management of Broncholithiasis

Franck Menivale, MDa, Gaëtan Deslee, MDa,*, Hervé Vallerand, MDa, Olivier Toubas, MDb, Gonzague Delepine, MDc, Pierre José Guillou, MDd, François Lebargy, PhD, MDa

a Department of Respiratory Medicine, Maison Blanche Hospital, Reims, France
b Department of Radiology, Maison Blanche Hospital, Reims, France
c Department of Thoracic Surgery, Robert Debré Hospital, Reims, France
d Department of Pathology, Robert Debré Hospital, Reims, France

Accepted for publication October 30, 2003.

* Address reprint requests to Dr Deslee, Service des Maladies Respiratoires et Allergiques, Oncologie Thoracique, Hôpital Maison Blanche, Chu de Reims, 45, Rue Cognacq-Jay, 51092 Reims, France
gdeslee{at}chu-reims.fr

Broncholithiasis is characterized by calcified perihilar and mediastinal lymph nodes eroding into the tracheobronchial tree. We report herein 4 cases of symptomatic broncholithiasis managed by surgical resection in 2 cases and bronchoscopic removal in 2 cases. From our experience and from the literature review, bronchoscopic removal should be considered in cases of uncomplicated and loose broncholithiasis, whereas surgical management should be chosen first in complicated cases such as obstructive pneumonitis, bronchiectasis, massive hemoptysis, and bronchoesophageal fistulas.




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