Mohamed Saifullah, Patel Akshay J, Mehdi Rana, Menon Ashvini, Steyn Richard, Bishay Ehab
Department of Thoracic Surgery, University Hospitals Birmingham, Birmingham, UK.
J Surg Case Rep. 2022 Apr 12;2022(4):rjac158. doi: 10.1093/jscr/rjac158. eCollection 2022 Apr.
Mediastinal cysts are commonly an incidental finding simulating a benign or malignant diagnosis. Infection is a recognised complication of mediastinal cyst and therefore early surgical management is essential. Endobronchial ultrasound guided biopsy (EBUS) has been used to diagnose and manage mediastinal cyst. We present a case series of three patients who presented with sepsis following diagnostic EBUS of mediastinal cyst. We would recommend that EBUS guided biopsy be applied cautiously if there is a high suspicion of mediastinal cyst to avoid post procedural infection, which can thus complicate any future therapeutic options.
纵隔囊肿通常是偶然发现，可模拟良性或恶性诊断。感染是纵隔囊肿公认的并发症，因此早期手术治疗至关重要。支气管内超声引导下活检（EBUS）已用于诊断和治疗纵隔囊肿。我们报告了一组三例患者的病例系列，这些患者在纵隔囊肿诊断性EBUS后出现败血症。我们建议，如果高度怀疑纵隔囊肿，应谨慎应用EBUS引导下活检，以避免术后感染，否则可能会使未来的任何治疗选择变得复杂。
