Hoshino Taiki, Murasawa Masaki, Yoshizawa Masatoshi, Ishida Hisao
Department of Thoracic Surgery, Kyoto Okamoto Memorial Hospital, Kyoto, Japan.
Kyobu Geka. 2022 Aug;75(8):622-625.
We report the case of a 75-year-old woman who developed acute mediastinitis from an infected bronchogenic cyst due to endoscopic ultrasound-guided transesophageal fine-needle aspiration (EUS-FNA) for making diagnosis. The patient developed fever, chest pain, and discomfort after EUS-FNA. A repeat chest computed tomography( CT) demonstrated a rapidly increased size of the mediastinal mass. Thoracoscopic surgery was performed five days after EUS-FNA and the mediastinal mass was excised successfully. Postoperative histological examination confirmed the diagnosis of a bronchogenic cyst.
我们报告了一例75岁女性患者的病例，该患者因诊断目的进行内镜超声引导下经食管细针穿刺抽吸术（EUS-FNA）后，感染性支气管囊肿引发急性纵隔炎。患者在EUS-FNA后出现发热、胸痛和不适。复查胸部计算机断层扫描（CT）显示纵隔肿块大小迅速增加。EUS-FNA术后五天进行了胸腔镜手术，成功切除了纵隔肿块。术后组织学检查确诊为支气管囊肿。
