Chylothorax after endoscopic ultrasound with fine-needle aspiration causing migrating appearance of a solitary fibrous tumor of the pleura.

Autor:	Mongelli, Francesco, FitzGerald, Maurice, Cafarotti, Stefano, Inderbitzi, Rolf
Předmět:	PLEURAL effusions CHEST pain CHYLOTHORAX COMPUTED tomography DYSPNEA ENDOSCOPY MEDIASTINAL tumors NEEDLE biopsy ULTRASONIC imaging COMPUTER-aided diagnosis THORACOTOMY DIAGNOSIS
Zdroj:	Annals of Thoracic Medicine; Apr-Jun2018, Vol. 13 Issue 2, p114-116, 3p, 2 Black and White Photographs, 2 Diagrams
Abstrakt:	Trans-esophageal endoscopic ultrasound with fine-needle aspiration (EUS-FNA) is widely used to assess mediastinal masses. Common complications are self-limiting bleeding or pain, but occasionally, more serious accidents have been reported. A 54-year-old woman with a huge mass located in the left middle mediastinum presented 2 days after an EUS-FNA with dyspnea and chest pain. Computed tomography scan showed a massive left pleural effusion. A chest tube was inserted revealing a chylothorax (1800 ml). Over the following days, the pleural effusion did not diminish, requiring a left mini-thoracotomy. Intraoperative findings showed a pedunculated mass arising from the upper lobe. A wedge resection and a ligation of a large lymphatic vessel were performed. Postoperative course was regular. Histology showed a solitary fibrous tumor of the pleura. To our knowledge, the case we describe is the first reported chylothorax after EUS-FNA. Despite the demonstrated safety, particular care is mandatory in case of large, vascular, and heterogeneous masses. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
Externí odkaz:	Zobrazit plný text záznamu Plný text ve formátu HTML
Nepřihlášeným uživatelům se plný text nezobrazuje	K zobrazení výsledku je třeba se přihlásit.