Hussain Habiba, Sehring Matthew, McVay Bryan
Department of Internal Medicine, University of Illinois College of Medicine at Peoria, Peoria, IL, USA.
Department of Pulmonary and Critical Care Medicine, University of Illinois Collge of Medicine at Peoria, Peoria, IL, USA.
Respir Med Case Rep. 2020 Oct 16;31:101259. doi: 10.1016/j.rmcr.2020.101259. eCollection 2020.
Diagnostic bronchoscopy with endobronchial ultrasound (EBUS) guided biopsy is the procedure of choice for visualization of bronchial airway and sampling of pulmonary lesions. While complications are relatively uncommon, they typically include hemorrhage, pneumothorax and/or infections. We report an unusual and unique complication, Hemotympanum following endobronchial ultrasound with biopsies. Occasional one or two reported cases of such a complication exist in literature. However, due to rare evidence, minimal awareness exist for its possibility, pathophysiology and measures of prevention.
诊断性支气管镜检查联合支气管内超声(EBUS)引导下活检是可视化支气管气道和对肺部病变进行采样的首选方法。虽然并发症相对不常见,但通常包括出血、气胸和/或感染。我们报告了一例支气管内超声活检后出现的罕见且独特的并发症——鼓室积血。文献中偶尔有一两个这样的并发症报告病例。然而,由于证据稀少,人们对其可能性、病理生理学和预防措施的认识微乎其微。