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(Chest. 2002;121:296-297.)
© 2002 American College of Chest Physicians

Mediastinal Abscess Due to Passage of a Broncholith*

Sean M. Studer, MD; Richard F. Heitmiller, MD and Peter B. Terry, MD, FCCP

* From the Divisions of Pulmonary and Critical Care Medicine (Drs. Studer and Terry) and Thoracic Surgery (Dr. Heitmiller), Johns Hopkins University, Baltimore, MD.

Correspondence to: Sean M. Studer, MD, 1 Gustave L. Levy Pl, RMTI-Box 1104, Mount Sinai Medical Center, New York, NY 10029; e-mail: sean_studer{at}mssm.edu

We report a case of a 32-year-old woman who, after passage of broncholiths, developed a mediastinal abscess that required surgical drainage for treatment. Previously reported infectious complications resulting from broncholiths include obstructive pneumonitis and recurrent aspiration pneumonitis secondary to bronchoesophageal fistulas. Because radiographic evidence of abnormal calcification in the chest is common, but rarely is associated with broncholithiasis, the patient’s history of lithoptysis was crucial to determining the underlying etiology of her abscess.

Key Words: broncholithiasis • lithoptysis • mediastinal abscess




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J. W. Toth, M. Tucakovic, and L. Foulke
Therapeutic Bilateral Broncholithectomy using Flexible Bronchoscopy: A Case Report
Chest Meeting Abstracts, October 1, 2004; 126(4): 964S - 964S.
[Abstract] [Full Text] [PDF]


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