Yasokawa Naoya, Yorizumi Noboru, Kurose Koji, Abe Masaaki, Oga Toru
Kawasaki Medical School, 577 Matsushima, Kurashiki, Okayama, 701-0192, Japan.
Respir Med Case Rep. 2020 Feb 23;29:101030. doi: 10.1016/j.rmcr.2020.101030. eCollection 2020.
Endobronchial ultrasound with a guide sheath (EBUS-GS)-guided transbronchial biopsy offers advantages and is frequently used for the diagnosis of peripheral pulmonary lesions. A previously healthy 75-year-old man was hospitalized to undergo bronchoscopy for the diagnosis of a mass with a diameter of about 40 mm in right S area. The mass was detected during a regular medical check-up, and lung cancer was suspected. EBUS-GS guided transbronchial biopsy was performed through the right B. Following the bronchoscopic procedure and removal of the GS, we observed that an X-ray opaque tip attached to the point of the GS was missing. We examined the lung field through X-ray fluoroscopy and found that the detached opaque tip was located in the right middle lung field. We re-inserted the bronchoscope, and successfully recovered it using transbronchial biopsy forceps. The rate of complications in EBUS-GS is low, and the complication presented in this report is rare. Physicians should exercise caution when performing this procedure and carefully check the condition of the kit to reduce the risk of such complications.
带引导鞘的支气管内超声（EBUS-GS）引导下经支气管活检具有优势，常用于诊断周围型肺部病变。一名75岁既往健康的男性因诊断右S区直径约40mm的肿块而住院接受支气管镜检查。该肿块在常规体检时被发现，怀疑为肺癌。通过右B进行了EBUS-GS引导下经支气管活检。在支气管镜检查及取出引导鞘后，我们发现附着于引导鞘尖端的不透X线的尖端缺失。我们通过X线透视检查肺野，发现脱落的不透光尖端位于右中肺野。我们重新插入支气管镜，并使用经支气管活检钳成功将其取出。EBUS-GS的并发症发生率较低，本报告中出现的并发症较为罕见。医生在进行该操作时应谨慎，并仔细检查器械情况以降低此类并发症的风险。
