A rare complication developing after endobronchial ultrasonography-guided transbronchial needle aspiration: Pneumomediastinum Endobronşial ultrasonografi eşliğinde transbronşiyal iğne aspirasyonu sonrasi gelişen nadir bir komplikasyon: Pnömomediastinum
Tuberkuloz ve Toraks, cilt.73, sa.2, ss.151-155, 2025 (ESCI, Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 73 Sayı: 2
- Basım Tarihi: 2025
- Doi Numarası: 10.5578/tt.2025021034
- Dergi Adı: Tuberkuloz ve Toraks
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, Central & Eastern European Academic Source (CEEAS), EMBASE, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.151-155
- Anahtar Kelimeler: EBUS-TBNA, complication, pneumomediastinum
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Endobronchial ultrasonography-guided transbronchial needle aspiration (EBUS-TBNA) is a widely used diagnostic tool for the evaluation of mediastinal and hilar lymph nodes. It is a safe and relatively harmless technique with low risk of complications such as coughing, agitation or minor bleeding at the puncture site. Pneumomediastinum is a very rare complication of EBUS-TBNA. In this report, we aimed to present a case of pneumomediastinum after EBUS-TBNA. A 55-year-old female patient, who was being followed up in the chest diseases outpatient clinic with known asthma, presented with dyspnea and chest pain at mMRC-2 level for one month. Thorax computed tomography (CT) scan performed for the patient’s symptoms revealed decreased left lung aeration and the lumen of left main bronchus appears opacified. Increased soft tissue density was observed in the peribronchovascular area in the central part, and the lesion borders could not be clearly defined in non-contrast series. Fiberoptic bronchoscopy was planned with a preliminary diagnosis of lung cancer. During the procedure, an endobronchial lesion that almost completely obstructed the distal left main bronchus was observed. Due to the high vascularity of the lesion, biopsy could not be taken from the lesion, and EBUS-TBNA (EB-530US, Fujifilm) was performed for diagnosis. A biopsy was taken from the subcarinal lymph node, and a smear and cell block were prepared for fine needle aspiration cytology. The patient had a cough during and after the procedure. Thorax CT showed widespread air densities consistent with pneumomediastinum. The patient was followed up in the chest diseases clinic and responded to conservative treatments. Here, we presented a case of pneumediastinum, a rare complication after EBUS-TBNA. Although it is rare, it is a complication that should be paid attention by clinicians. In order to reduce morbidity, complications that may develop after EBUS-TBNA should not be ignored and followed closely.