Middle lobe syndrome revealing Broncholithiasis: A Case Report

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Published Sep 28, 2023
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Vol. 101 No. 4 (2023): Tunis Med apr 2023

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Narjes Abid
Service de pneumologie, CHU Mohamed Taher Maamouri Nabeul - Tunis
Manel Loukil
Service de pneumologie, CHU Mohamed Taher Maamouri Nabeul - Tunis
Nada Gader
Service de pneumologie, CHU Mohamed Taher Maamouri Nabeul - Tunis
Abir Chaabane
Laboratoire d’anatomopathologie, CHU Mohamed Taher Maamouri Nabeul - Tunis
Khaled Bouzaidi
Service d’imagerie thoracique, CHU Mohamed Taher Maamouri Nabeul - Tunis
Hedia Ghrairi
Service de pneumologie, CHU Mohamed Taher Maamouri Nabeul - Tunis

Abstract

Middle lobe syndrome is a rare but important clinical entity worth investigating in local obstructive or inflammatory cause. One of its rare
etiologies is broncholithiasis.
We report the observation of a young female patient who presented with recurrent hemoptysis.
Chest CT scan showed atelectasis of the middle lobe and suggested the diagnosis of broncholithiasis by objectifying, within the collapsed
lobe, a calcification located in the bronchial lumen. Bronchial fibroscopy was of little help. Recurrent hemoptysis and doubt about pulmonary neoplasia led to a diagnostic and therapeutic lobectomy.
In front of MLS, broncholithiasis should be suspected in the presence of calcifications on imaging. Surgery may be required in case of
uncertain cases to not ignore an underlying tumor

Keywords:

Case report, middle lobe syndrome, broncholithiasis, hemoptysis

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