tailieunhanh - Báo cáo y học: "Mediastinal abscess after endobronchial ultrasound with transbronchial needle aspiration: a case report"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí yhọc Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Mediastinal abscess after endobronchial ultrasound with transbronchial needle aspiration: a case report. | Moffatt-Bruce and Ross Journal of Cardiothoracic Surgery 2010 5 33 http content 5 1 33 JOURNAL OF CARDIOTHORACIC SURGERY CASE REPORT Open Access Mediastinal abscess after endobronchial ultrasound with transbronchial needle aspiration a case report Susan D Moffatt-Bruce and Patrick Ross Jr Abstract Endobronchial ultrasound EBUS with transbronchial needle aspiration is now becoming widely accepted as a preferred staging technique. It has been perceived as a non-invasive and well tolerated procedure with minimal complications. We report the development and treatment of a severe complication that developed 2 weeks after the initial procedure in the form of a complex mediastinal abscess. EBUS although useful in its non-invasive application for diagnosing mediastinal or hilar disease must be regarded with caution since the potential exists to develop severe complications. Case Report An 89 year old woman presented to thoracic surgery clinic for the evaluation of mediastinal adenopathy. She had a history of a frontal meningioma that had been treated with radiotherapy 9 years earlier and also had an undiagnosed renal lesion that was being followed with sequential imaging. In the course of this follow up a computed tomography CT scan of the chest had been obtained which revealed mediastinal adenopathy Figure 1A . Although not hypermetabolic on positive emission tomography PET the indeterminate etiology necessitated endobronchial ultrasound EBUS with transbron-chial aspiration. The patient underwent an uneventful auto fluorescent bronchoscopy and EBUS Evis Exera Olympus BF-UC160F-OL8 . Appropriate ultrasound lymph node criteria were met in the subcarinal area and four transbron-chial aspirates were taken with a 22-gauge aspirating needle with syringe model NA-201SX-4022-A Olympus Center Valley PA . The pathology revealed lymphocytes and benign elements of respiratory mucosa. No malignancy was identified. Approximately 10 days after the biopsy .

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