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Pneumologie 2022; 76(09): 622-625
DOI: 10.1055/a-1775-5693
Kasuistik

Eine unerwartete Komplikation: Kontralateraler Spannungspneumothorax nach transbronchialer Zangenbiopsie

An Unexpected Complication: Contralateral Tension Pneumothorax following Transbronchial Forceps Biopsy
Jan-Philipp Gutowski
1   Medizinische Klinik Borstel
2   Praxis Dr. Martin Ehlers, Hamburg
,
Jens Sachsenweger
1   Medizinische Klinik Borstel
,
Katharina May
3   Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Radiologie
,
Christoph Lange
1   Medizinische Klinik Borstel
,
Jan Heyckendorf
4   Klinik für Innere Medizin I, Universitätsklinik Schleswig-Holstein Campus Kiel
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Zusammenfassung

Der ipsilaterale Pneumothorax nach transbronchialer Zangenbiopsie ist keine außergewöhnliche Komplikation. In dem hier dargestellten Fall kam es nach zunächst komplikationsloser transbronchialer Zangenbiopsie neben einem ipsilateralen Pneumothorax zu einem kontralateralen Spannungspneumothorax und einem Pneumoperitoneum.

Abstract

Ipsilateral pneumothoraces are a common complication after transbronchial forceps biopsy. In this case report, a contralateral tension pneumothorax and a pneumoperitoneum occurred following transbronchial forceps biopsy in addition to an ipsilateral pneumothorax.



Publication History

Received: 27 December 2021

Accepted after revision: 15 February 2022

Article published online:
11 April 2022

© 2022. Thieme. All rights reserved.

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  • Literatur

  • 1 Hanson RR, Zavala DC, Rhodes ML. et al. Transbronchial biopsy via flexible fiberoptic bronchoscope; results in 164 patients. Am Rev Respir Dis 1976; 114: 67-72
    PubMedSearch in Google Scholar
  • 2 Galli JA, Panetta LP, Gaeckle N. et al. Pneumothorax after transbronchial biopsy in pulmonary fibrosis: Lessons from the multicenter COMET trial. Lung 2017; 195: 537-543
    CrossrefPubMedSearch in Google Scholar
  • 3 Jabbardarjani H, Eslaminejad A, Mohammadtaheri Z. et al. The effect of cup versus alligator forceps on the results of transbronchial lung biopsy. J Bronchology Interv Pulmonol 2010; 17: 117-121
    CrossrefPubMedSearch in Google Scholar
  • 4 Pue CA, Pacht ER. Complications of fiberoptic bronchoscopy at a university hospital. Chest 1995; 107: 430-432
    CrossrefPubMedSearch in Google Scholar
  • 5 Chino H, Likura M, Saito N. et al. Subinterlobular Pleural Location Is a Risk Factor for Pneumothorax After Bronchoscopy. Respir Care 2016; 61: 1664-1670
    CrossrefPubMedSearch in Google Scholar
  • 6 Piergiorgio M, Angelo C, Paola C. et al. Isolated tension pneumoperitoneum following endobronchial ultrasound-guided transbronchial needle aspiration complicated by cardiac peri-arrest: A case report. Monaldi Arch Chest Dis 2018; 88: 999
    CrossrefPubMedSearch in Google Scholar
  • 7 Nikolaev IS, Zamir D, Weiler Z. Pneumoperitoneum complicating bronchoscopy. Isr Med Assoc J 2003; 5: 131-132
    PubMedSearch in Google Scholar
  • 8 Dastidar A. Pneumomediastinum, pneumoperitoneum and pneumothorax following iatrogenic perforation of bronchus: Successful conservative management of a potentially serious complication. J Pediatric Surg 2013; 48: 456-458
    CrossrefPubMedSearch in Google Scholar
  • 9 Abraham 3rd GE, Sumrall BH, Bowling MR. The air apparent: a rare complication during flexible bronchoscopy. Am J Med Sci 2011; 341: 243-245
    CrossrefPubMedSearch in Google Scholar
  • 10 Patolia S, Zahir M, Schmidt F. et al. Bilateral pneumothorax after bronchoscopy without biopsy-a rare complication: case presentation and literature review. J Bronchology Interv Pulmonol 2012; 19: 57-60
    CrossrefPubMedSearch in Google Scholar
  • 11 Findik S, Erkan L, Light RW. Iatrogenic bilateral pneumothorax following unilateral transbronchial lung biopsy. Br J Radiol 2006; 79: e22-e24
    CrossrefPubMedSearch in Google Scholar
  • 12 Schorlemmer GR, Khouri RK, Murray GF. et al. Bilateral pneumothoraces secondary to iatrogenic buffalo chest. Ann Surg 1984; 199: 372-374
    CrossrefPubMedSearch in Google Scholar
  • 13 Johri S, Berlin D, Sanders A. Bilateral pneumothoraces after unilateral transthoracic needle biopsy of a lung nodule. Chest 2003; 123: 1297-1299
    CrossrefPubMedSearch in Google Scholar
  • 14 Qiongfang W, Hong Z. Carbon dioxide pneumothorax following retroperitoneal laparoscopic partial nephrectomy: a case report and literature review. BMC Anesthesiol 2018; 18: 202
    CrossrefPubMedSearch in Google Scholar
  • 15 Douglas EO. Subcutaneous Emphysema – Beyond the Pneumoperitoneum. JSLS 2014; 18: 1-7
    CrossrefPubMedSearch in Google Scholar
  • 16 Murdock CM, Wolff AJ, Van Geem T. Risk factors for hypercarbia, subcutaneous emphysema, pneumothorax, and pneumomediastinum during laparoscopy. Obstet Gynecol 2000; 95: 704-709
    CrossrefPubMedSearch in Google Scholar
  • 17 Heyba M, Rashad A, Al-Fadhli AA. Detection and Management of Intraoperative Pneumothorax during Laparoscopic Cholecystectomy. Case Rep Anesthesiol 2020; 2020: 9273903
    CrossrefPubMedSearch in Google Scholar