title: Tension pneumothorax as a severe complication of endobronchial ultrasound-guided transbronchial fine needle aspiration of mediastinal lymph nodes.
abstract: This article presents a case report of a patient suffering from bullous emphysema and chronic obstructive pulmonary disease, who was diagnosed with tension pneumothorax after undergoing endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA). Tension pneumothorax is a severe but rare complication of EBUS-TBNA. It can result from lung injury caused by the biopsy needle or, in patients suffering from bullous emphysema, from spontaneous rupture of an emphysematous bulla resulting from increased pressure in the chest cavity during cough caused by bronchofiberoscope insertion. The authors emphasize that patients should be carefully monitored after the biopsy, and, in the case of complications, provided with treatment immediately in proper hospital conditions. Patients burdened with a high risk of complications should be identified before the procedure and monitored with extreme care after its completion.
authors: Independent Endoscopy Unit, John Paul II Specialist Hospital in Krakow, Poland.
authors: Maciej
authors: M
authors: Gnass
authors: Independent Endoscopy Unit, John Paul II Specialist Hospital in Krakow, Poland.
authors: Artur
authors: A
authors: Szlubowski
authors: Clinical Department of the Clinic of Thoracic Surgery, Collegium Medicum of the Jagiellonian University, John Paul II Specialist Hospital in Krakow, Poland.
authors: Tomasz
authors: T
authors: Gil
authors: Clinical Department of the Clinic of Thoracic Surgery, Collegium Medicum of the Jagiellonian University, John Paul II Specialist Hospital in Krakow, Poland.
authors: Piotr
authors: P
authors: Kocoń
authors: Department of Anesthesiology and Intensive Pulmonary Care, John Paul II Specialist Hospital in Krakow, Poland.
authors: Mirosław
authors: M
authors: Ziętkiewicz
authors: Department of Anesthesiology and Intensive Pulmonary Care, John Paul II Specialist Hospital in Krakow, Poland.
authors: Magdalena
authors: M
authors: Twardowska
authors: Clinical Department of the Clinic of Thoracic Surgery, Collegium Medicum of the Jagiellonian University, John Paul II Specialist Hospital in Krakow, Poland.
authors: Jarosław
authors: J
authors: Kużdżał
keywords: bronchofiberoscopy; endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA); tension pneumothorax