Download PDF
CC BY-NC-ND 4.0 · Thorac Cardiovasc Surg Rep 2019; 08(01): e11-e13
DOI: 10.1055/s-0039-1688476
Case Report: Thoracic
Georg Thieme Verlag KG Stuttgart · New York

Bronchial Fistula and Pneumomediastinum after EBUS-TBNA Following Mediastinoscopy

Ioannis Bougioukas
1   Department of Cardiothoracic Surgery, SHG-Kliniken Volklingen, Voelklingen, Germany
,
Ralf Seipelt
1   Department of Cardiothoracic Surgery, SHG-Kliniken Volklingen, Voelklingen, Germany
,
Hanno Huwer
1   Department of Cardiothoracic Surgery, SHG-Kliniken Volklingen, Voelklingen, Germany
› Author Affiliations
Further Information

Publication History

09 December 2018

13 March 2019

Publication Date:
06 May 2019 (online)

Also available at
   Permissions and Reprints

Abstract

Background Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is a very useful diagnostic tool for the assessment of enlarged mediastinal and hilar lymph nodes. It is a safe procedure with a low risk of complications.

Case Description We report a case of bronchial fistula and pneumomediastinum after EBUS-TBNA, which was performed shortly after a mediastinoscopy. Due to the extent of the bronchial lesion, a surgical closure of the bronchial fistula was necessary. The patient recovered completely.

Conclusion The performance of EBUS-TBNA shortly after a mediastinoscopy should not be recommended to avoid possible procedure-related complications.

Keywords

mediastinum (incl. mediastinoscopy) - thoracic surgery - mediastinal lymph nodes - ultrasound (all applications)
 

  • References

  • 1 Labarca G, Aravena C, Ortega F. , et al. Minimally invasive methods for staging in lung cancer: systematic review and meta-analysis. Pulm Med 2016; 2016: 1024709
    CrossrefPubMedSearch in Google Scholar
  • 2 Asano F, Aoe M, Ohsaki Y. , et al. Complications associated with endobronchial ultrasound-guided transbronchial needle aspiration: a nationwide survey by the Japan Society for Respiratory Endoscopy. Respir Res 2013; 14: 50
    CrossrefPubMedSearch in Google Scholar
  • 3 Piroddi IMG, Gatto P, Perazzo A, Barlascini C, Nicolini A. Pneumomediastinum following endobronchial ultrasound-guided transbronchial needle aspiration: a case report. Tanaffos 2017; 16 (03) 245-247
    PubMedSearch in Google Scholar
  • 4 Gamrekeli A, Kalweit G, Schäfer H, Huwer H. Infection of a bronchogenic cyst after ultrasonography-guided fine needle aspiration. Ann Thorac Surg 2013; 95 (06) 2154-2155
    CrossrefPubMedSearch in Google Scholar
  • 5 Farmer PL, Bailey DJ, Burns BF, Day A, LeBrun DP. The reliability of lymphoma diagnosis in small tissue samples is heavily influenced by lymphoma subtype. Am J Clin Pathol 2007; 128 (03) 474-480
    CrossrefPubMedSearch in Google Scholar
  • 6 Zhu F, Ma DC, Xu N. , et al. Diagnostic value of video-assisted mediastinoscopy and endobronchial ultrasound-guided transbronchial needle aspiration for mediastinal lymphadenectasis without pulmonary abnormalities. Med Sci Monit 2017; 23: 3064-3070
    CrossrefPubMedSearch in Google Scholar
  • 7 Eapen GA, Shah AM, Lei X. , et al; American College of Chest Physicians Quality Improvement Registry, Education, and Evaluation (AQuIRE) Participants. Complications, consequences, and practice patterns of endobronchial ultrasound-guided transbronchial needle aspiration: results of the AQuIRE registry. Chest 2013; 143 (04) 1044-1053
    CrossrefPubMedSearch in Google Scholar
  • 8 Kouritas VK, Papagiannopoulos K, Lazaridis G. , et al. Pneumomediastinum. J Thorac Dis 2015; 7 (Suppl. 01) S44-S49
    CrossrefPubMedSearch in Google Scholar