https://doi.org/10.4081/monaldi.2022.2306
Unusual lymphadenopathy diagnosed by endobronchial ultrasound-guided transbronchial needle aspiration
Submitted: April 28, 2022
Accepted: May 16, 2022
Published: May 24, 2022
Accepted: May 16, 2022
Abstract Views: 784
PDF: 191
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Oxidized cellulose, used as hemostatic in thoracic surgery, may cause in some cases foreign body reactions, and simulate other diseases. We report the case of a 39-year-old man operated on a middle lobe lobectomy for atypical carcinoid. The follow up chest-CT showed enlarged mediastinal lymph nodes, so endobronchial ultrasound-guided transbronchial needle aspiration was performed suspecting recurrence of the tumor. The cytology results showed amorphous fragments such as foreign body reaction secondary to Pahacel®, used as hemostatic during the surgery. A few days later, the patient was re-operated on suspicion of mediastinitis induced by the endoscopic procedure. The aim of this case is to consider the foreign body reaction to Pahacel®, in patients with postoperative thoracic lymphadenopathy. It is also important to remember that in these patients the endoscopic procedures allow the diagnosis but may cause mediastinitis.
Altaylar Medikal [Internet]. Oxidized Regenerated Cellulose. Available from: http://www.altaylarmedikal.com/en/products/oxidised-regenerated-cellulose/6
Badenes D, Pijuan L, Curull V, Sánchez-Font A. A foreign body reaction to Surgicel® in a lymph node diagnosed by endobronchial ultrasound-guided transbronchial needle aspiration. Ann Thorac Med 2017;12:55-6.
DOI: https://doi.org/10.4103/1817-1737.197780
Mattsson T, Anneroth G, Köndell PA, Nordenram A. ACP and Surgicel in bone hemostasis. A comparative experimental and histologic study. Swed Dent J 1990;14:57-62.
Pierce A, Wilson D, Wiebkin O. Surgicel: macrophage processing of the fibrous component. Int J Oral Maxillofac Surg 1987;16:338-45.
DOI: https://doi.org/10.1016/S0901-5027(87)80156-X
Tomizawa Y. Clinical benefits and risk analysis of topical hemostats: a review. J Artif Organs 2005;8:137-42
DOI: https://doi.org/10.1007/s10047-005-0296-x
Roshkovan L, Singhal S, Katz SI, Galperin-Aizenberg M. Multimodality imaging of Surgicel®, an important mimic of post-operative complication in the thorax. BJR Open 2021;3:20210031.
DOI: https://doi.org/10.1259/bjro.20210031
Frati A, Thomassin-Naggara I, Bazot M, et al. Accuracy of diagnosis on CT scan of Surgicel® fibrillar: results of a prospective blind reading study. Eur J Obstet Gynecol Reprod Biol 2013;169:397-401.
DOI: https://doi.org/10.1016/j.ejogrb.2013.04.008
Hernández-Bonilla S, Rodríguez-García AM, Jiménez-Heffernan JA, et al. FNA cytology of postoperative pseudotumoral lesions induced by oxidized cellulose hemostatic agents. Cancer Cytopathol 2019;127:765-70.
DOI: https://doi.org/10.1002/cncy.22194
Haidari TA, Petersen RH, Skov BG, Ravn J. Oxidized resorbable cellulose (Gelita-cel) causing foreign body reaction in the mediastinum. Interact Cardiovasc Thorac Surg 2018;27:881-3. Erratum in: Interact Cardiovasc Thorac Surg 2019;29:495.
DOI: https://doi.org/10.1093/icvts/ivz166
Koh JS, Kim YJ, Kang DH, et al. Severe mediastinitis and pericarditis after endobronchial ultrasound-guided transbronchial needle aspiration: A case report. World J Clin Cases 2021;9:10723-7.
DOI: https://doi.org/10.12998/wjcc.v9.i34.10723
Varela-Lema L, Fernández-Villar A, Ruano-Ravina A. Effectiveness and safety of endobronchial ultrasound-transbronchial needle aspiration: a systematic review. Eur Respir J 2009;33:1156-64.
DOI: https://doi.org/10.1183/09031936.00097908
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.
DOI: https://doi.org/10.1186/1465-9921-14-50
Huang CT, Chen CY, Ho CC, Yu CJ. A rare constellation of empyema, lung abscess, and mediastinal abscess as a complication of endobronchial ultrasound-guided transbronchial needle aspiration. Eur J Cardiothorac Surg 2011;40:264-5.
DOI: https://doi.org/10.1016/j.ejcts.2010.11.037
Haas AR. Infectious complications from full extension endobronchial ultrasound transbronchial needle aspiration. Eur Respir J 2009;33:935-8.
DOI: https://doi.org/10.1183/09031936.00025708
Bhavan KP, Warren DK. Acute mediastinitis. In: Kello J, Kollef M, Diaz E, et al., Editors. Infectious diseases in critical care. Springer: Berlin; 2007. p. 542-54.
DOI: https://doi.org/10.1007/978-3-540-34406-3_51
Yokoyama Y, Nakagomi T, Shikata D, et al. Surgical treatment for mediastinal abscess induced by endobronchial ultrasound-guided transbronchial needle aspiration: a case report and literature review. World J Surg Oncol 2017;15:130.
DOI: https://doi.org/10.1186/s12957-017-1206-4
Parker KL, Bizekis CS, Zervos MD. Severe mediastinal infection with abscess formation after endobronchial ultrasound-guided transbrochial needle aspiration. Ann Thorac Surg. 2010;89:1271-2.
DOI: https://doi.org/10.1016/j.athoracsur.2009.09.002
Voldby N, Folkersen BH, Rasmussen TR. Mediastinitis: A serious complication of endobronchial ultrasound-guided transbronchial needle aspiration. J Bronchology Interv Pulmonol 2017;24:75-9.
DOI: https://doi.org/10.1097/LBR.0000000000000231
Ishimoto H, Yatera K, Uchimura K, et al. A serious mediastinum abscess induced by endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA): a case report and review of the literature. Intern Med 2015;54:2647-50.
DOI: https://doi.org/10.2169/internalmedicine.54.4465
Fukunaga K, Kawashima S, Seto R, et al. Mediastinitis and pericarditis after endobronchial ultrasound-guided transbronchial needle aspiration. Respirol Case Rep 2015;3:16-8.
DOI: https://doi.org/10.1002/rcr2.90
How to Cite
Stirpe, Emanuele, Floriana Bardaro, and Johanna Köhl. 2022. “Unusual Lymphadenopathy Diagnosed by Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration”. Monaldi Archives for Chest Disease 93 (1). https://doi.org/10.4081/monaldi.2022.2306.
Copyright (c) 2022 The Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Similar Articles
- Emanuele Stirpe, Floriana Bardaro, Johanna Köhl, Intracavitary fibrinolysis directly under vision during medical thoracoscopy: a case report , Monaldi Archives for Chest Disease: Vol. 93 No. 3 (2023)
- Sara Parini, Paolo Spina, Esther Papalia, Renzo Boldorini, Michele Abruzzese, Ottavio Rena, Primary seminoma arising in the posterior mediastinum: a diagnostic challenge , Monaldi Archives for Chest Disease: Vol. 92 No. 2 (2022)
- Shyam Kanhaiya Saroj, Tushti Bhardwaj, Non-pharmacological interventions for tobacco cessation: A systematic review of existing practices and their effectiveness , Monaldi Archives for Chest Disease: Vol. 92 No. 4 (2022)
- Charalampos Chrysanthos Mylonas, Georgia Gomatou, Garyphallia Poulakou, Eleni Moraitou, Konstantinos Syrigos, Human disease caused by Streptococcus alactolyticus: a case report of native valve infective endocarditis and review of the literature , Monaldi Archives for Chest Disease: Vol. 90 No. 4 (2020)
- Biswajit Maharana , Pallab Chakraborty, Sudhan Rackimuthu , Rusab Baig, Shreeji Kadakia, Paradoxical role of oxygen in the treatment of patients with COVID-19 , Monaldi Archives for Chest Disease: Vol. 92 No. 2 (2022)
- Amarendra Kumar Shukla, Amrutha Peter, Jitendra Kishore Bhargava, Veerendra Arya, Manish Kumar Gupta, Nishtha Yadav, Pawan Tiwari, Sarcoidosis presenting as bilateral optic neuritis after ChAdOx1 nCoV-19 vaccination , Monaldi Archives for Chest Disease: Vol. 93 No. 1 (2023)
- P.M. RodrÃguez Suárez, J.L. Freixinet Gilart, Pleurodesis in the treatment of pneumothorax and pleural effusion , Monaldi Archives for Chest Disease: Vol. 79 No. 2 (2013): Pulmonary series
- A. Chroneou, N. Zias, B.S. Tronic, A.V. Gonzalez, J.F. Beamis Jr., A case of uncomplicated pulmonary alveolar proteinosis evolving to pulmonary fibrosis , Monaldi Archives for Chest Disease: Vol. 67 No. 4 (2007): Pulmonary series
- L. Casali, G. Pinchi, E. Puxeddu, Doping and Respiratory System , Monaldi Archives for Chest Disease: Vol. 67 No. 1 (2007): Pulmonary series
- Sunil K. Chhabra, Devi Jyoti Dash, Concurrent sensitization to Aspergillus Fumigatus in tropical pulmonary eosinophilia , Monaldi Archives for Chest Disease: Vol. 81 No. 1-2 (2015): Pulmonary series
<< < 25 26 27 28 29 30 31 32 33 34 > >>
You may also start an advanced similarity search for this article.
