Barisione Emanuela, Bianchi Rita, Fiocca Roberto, Salio Mario
IRCCS Ospedale Policlinico San Martino, University of Genoa, Pulmonology Division.
Monaldi Arch Chest Dis. 2018 Jun 22;88(2):909. doi: 10.4081/monaldi.2018.909.
Pneumomediastinum is defined as the presence of air or gas within the mediastinum and it rarely complicates bronchoscopy. We report, to our best knowledge, the first case of pneumomediastinum following a transbronchial cryobiopsy (TBLC). TBLC is considered a safe procedure as compared with both transbronchial biopsy and surgical lung biopsy. Systematic reviews, metanalysis and a Pubmed research, revealed that in literature no pneumomediastinum has been mentioned after TBLC. We report this case for to make it known to interventional pulmonologists the possibility that a pneumomediastinum can follow a TBLC. In our case the spontaneous resolution in few days did not require any intervention.
纵隔气肿定义为纵隔内存在空气或气体，它很少使支气管镜检查复杂化。据我们所知，我们报告了首例经支气管冷冻活检（TBLC）后发生纵隔气肿的病例。与经支气管活检和外科肺活检相比，TBLC被认为是一种安全的操作。系统评价、荟萃分析和PubMed检索显示，文献中未提及TBLC后发生纵隔气肿的情况。我们报告此病例是为了让介入肺科医生了解TBLC后可能发生纵隔气肿的情况。在我们的病例中，数天内自行消退，无需任何干预。
