title: An unusual case of iatrogenic haemoptysis.
abstract: Summary Transbronchial needle aspiration (TBNA) of the hilar and mediastinal lymph nodes and lung masses is a powerful tool in the diagnostic evaluation of mediastinal adenopathies including malignancies. As its use becomes more widespread, few cases have been reported with complications. We present a case of a 57-year-old man who was transferred to our institution for uncontrolled haemoptysis following endobronchial ultrasound-guided TBNA. At our institution, emergent bronchoscopy revealed a large clot distal to the right upper lobe bronchus without a visible fistula tract. A CT pulmonary angiogram and a subsequent pulmonary angiogram showed an aneurysm originating from the right superior pulmonary vein. Management was conservative with strict blood pressure control and lowering the left atrial pressure allowed spontaneous resolution of the bleed.
authors.affiliation: Department of Internal Medicine, University of Florida College of Medicine, Jacksonville, Florida, USA.
authors.forename: Kavita
authors.initials: K
authors.lastname: Pal
authors.affiliation: Department of Pulmonary and Critical Care, University of Florida College of Medicine, Jacksonville, Florida, USA.
authors.forename: Vandana Kavita
authors.initials: VK
authors.lastname: Seeram
authors.affiliation: Department of Pulmonary and Critical Care, University of Florida College of Medicine, Jacksonville, Florida, USA.
authors.forename: James Davis
authors.initials: JD
authors.lastname: Cury
mesh_terms: D001999:Bronchoscopy / Q000009:adverse effects*; D061765:Endoscopic Ultrasound-Guided Fine Needle Aspiration / Q000009:adverse effects*; D006469:Hemoptysis / Q000209:etiology / Q000534:rehabilitation; D006801:Humans; D007049:Iatrogenic Disease; D008198:Lymph Nodes / Q000000981:diagnostic imaging / Q000473:pathology*; D008297:Male; D008477:Mediastinal Diseases / Q000473:pathology*; D008875:Middle Aged; D016896:Treatment Outcome