Cystic lung lesion following transbronchial lung cryobiopsy: Case report and systematic review
| Autor: | Srikant Kashinath Malegaonkar, Inderpaul Singh Sehgal, Valliappan Muthu, Ritesh Agarwal, Amanjit Bal, Sahajal Dhooria |
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| Jazyk: | angličtina |
| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | Lung India, Vol 40, Iss 3, Pp 267-270 (2023) |
| Druh dokumentu: | article |
| ISSN: | 0970-2113 0974-598X |
| DOI: | 10.4103/lungindia.lungindia_429_22 |
| Popis: | Transbronchial lung cryobiopsy (TBLC) is a technique used to sample the lungs for diagnosing diffuse lung diseases. A sizeable tissue is sheared off the lung parenchyma during TBLC leading to a defect in the lung, which might result in a cystic lesion on imaging. Computed tomography (CT) performed for other reasons might incidentally reveal such a cyst. We report a 75-year-old patient who underwent TBLC and developed significant intraprocedural bleeding. Chest CT performed for worsening breathlessness revealed an acute exacerbation (AE) of the underlying interstitial lung disease, and incidentally showed a new cyst in the biopsied lung lobe. The patient recovered clinically after the administration of high-dose methylprednisolone. A chest CT performed nine months later showed resolution of the lung cyst. A systematic review of the literature revealed that cysts/pneumatoceles/cavities may appear in 50% of patients following TBLC. About 90% are due to biopsy trauma and mostly resolve spontaneously. Rarely, a cavity may be due to infection; antimicrobial agents should be administered in such cases. |
| Databáze: | Directory of Open Access Journals |
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