Fiore Lucas, Frenk Nathan Elie, Martins Guilherme Lopes Pinheiro, Viana Publio Cesar Cavalcante, de Menezes Marcos Roberto
Radiology and Image Guided Intervention Service, Instituto do Câncer do Estado de São Paulo, University of São Paulo, São Paulo, Brazil.
Radiology Department, Hospital das Clínicas, University of São Paulo, Sao Paulo, Brazil.
J Radiol Case Rep. 2017 Jun 30;11(6):6-14. doi: 10.3941/jrcr.v11i6.2990. eCollection 2017 Jun.
CT-guided percutaneous biopsy is a resourceful and widely used tool to evaluate pulmonary nodules that frequently avoids costly and unnecessary surgeries. Severe complications occur in less than 1% of cases and include gas embolism, which is rarely documented. We report a case of gas embolism after transthoracic biopsies and discuss the pathophysiology and the benefits of early diagnosis and proper management.
CT引导下经皮穿刺活检是一种行之有效的、广泛应用于评估肺结节的工具，它常常能避免代价高昂且不必要的手术。严重并发症的发生率低于1%，包括气体栓塞，而气体栓塞很少有文献记载。我们报告了1例经胸活检后发生气体栓塞的病例，并讨论其病理生理学以及早期诊断和妥善处理的益处。
