title: A Young Woman With Severe Chest Pain After Undergoing Endobronchial Ultrasound-guided Transbronchial Needle Aspiration for a Large Mediastinal Mass.
abstract: A 33-year-old woman with chest pain and hemoptysis was found to have a large mediastinal mass. As the radiology imagings were inconclusive, she underwent diagnostic endobronchial ultrasound-transbronchial needle aspiration (EBUS-TBNA). After the procedure she developed mediastinitis, which required video-assisted thoracoscopic surgery excision and intravenous antibiotics. Bronchogenic cysts are rare congenital anomalies. Traditionally, surgical resection has been recommended as the first-line treatment option for both symptomatic and asymptomatic bronchogenic cysts due to concerns of late complications, including malignant transformation. Recently, there have been a number of case reports of bronchogenic cysts been diagnosed and treated successfully using EBUS-TBNA. We present a case in which EBUS-TBNA was performed for a definitive diagnosis of cystic lesion in the mediastinum.
authors.affiliation: Department of Respiratory Medicine, Basildon University Hospital, Basildon, Essex, England.
authors.forename: Rahul
authors.initials: R
authors.lastname: Mogal
authors.forename: Nandini
authors.initials: N
authors.lastname: Banerjee
authors.forename: Bernard
authors.initials: B
authors.lastname: Yung
authors.forename: Dipak
authors.initials: D
authors.lastname: Mukherjee
mesh_terms: D061605:Administration, Intravenous; D000328:Adult; D000900:Anti-Bacterial Agents / Q000008:administration & dosage* / Q000627:therapeutic use; D044963:Biopsy, Fine-Needle / Q000009:adverse effects; D002637:Chest Pain / Q000209:etiology; D061765:Endoscopic Ultrasound-Guided Fine Needle Aspiration / Q000009:adverse effects*; D005260:Female; D006469:Hemoptysis / Q000209:etiology; D006801:Humans; D061705:Image-Guided Biopsy / Q000009:adverse effects; D008175:Lung Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology; D008479:Mediastinal Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology; D008480:Mediastinitis / Q000209:etiology / Q000628:therapy*; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents