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Use of saline to evaluate a cavity due to Mycobacterium kansasii infection during ultrathin bronchoscopy and endobronchial ultrasonography
A 28‐year‐old man had a cavitary lesion in the upper right lobe with a tree‐in‐bud appearance on chest computed tomography (CT). Diagnostic bronchoscopy was performed. An ultrathin bronchoscope in the right B2aiiβxyy reached the cavity. We filled the cavity with saline under direct bronchoscopic vis...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley & Sons, Ltd
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8111060/ https://www.ncbi.nlm.nih.gov/pubmed/34012548 http://dx.doi.org/10.1002/rcr2.766 |
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author | Hamaguchi, Megumi Kurimoto, Noriaki Tsubata, Yukari Okuno, Takae Tanino, Akari Hotta, Takamasa Isobe, Takeshi |
author_facet | Hamaguchi, Megumi Kurimoto, Noriaki Tsubata, Yukari Okuno, Takae Tanino, Akari Hotta, Takamasa Isobe, Takeshi |
author_sort | Hamaguchi, Megumi |
collection | PubMed |
description | A 28‐year‐old man had a cavitary lesion in the upper right lobe with a tree‐in‐bud appearance on chest computed tomography (CT). Diagnostic bronchoscopy was performed. An ultrathin bronchoscope in the right B2aiiβxyy reached the cavity. We filled the cavity with saline under direct bronchoscopic visualization. We suspected a blood vessel was present in the cavity wall based on narrow‐band imaging. Bronchial lavage of the cavity was performed. Next, endobronchial ultrasonography (EBUS) using a guide sheath was performed with a thin bronchoscope. EBUS showed a pulsating blood vessel in the cavity wall. Bronchial lavage collected with ultrathin and thin bronchoscopy revealed Mycobacterium kansasii. Observation of vessels in the wall of a cavitary lesion with ultrathin bronchoscopy and EBUS may be useful for avoiding severe bleeding associated with biopsy of a cavitary lesion. |
format | Online Article Text |
id | pubmed-8111060 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | John Wiley & Sons, Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-81110602021-05-18 Use of saline to evaluate a cavity due to Mycobacterium kansasii infection during ultrathin bronchoscopy and endobronchial ultrasonography Hamaguchi, Megumi Kurimoto, Noriaki Tsubata, Yukari Okuno, Takae Tanino, Akari Hotta, Takamasa Isobe, Takeshi Respirol Case Rep Case Reports A 28‐year‐old man had a cavitary lesion in the upper right lobe with a tree‐in‐bud appearance on chest computed tomography (CT). Diagnostic bronchoscopy was performed. An ultrathin bronchoscope in the right B2aiiβxyy reached the cavity. We filled the cavity with saline under direct bronchoscopic visualization. We suspected a blood vessel was present in the cavity wall based on narrow‐band imaging. Bronchial lavage of the cavity was performed. Next, endobronchial ultrasonography (EBUS) using a guide sheath was performed with a thin bronchoscope. EBUS showed a pulsating blood vessel in the cavity wall. Bronchial lavage collected with ultrathin and thin bronchoscopy revealed Mycobacterium kansasii. Observation of vessels in the wall of a cavitary lesion with ultrathin bronchoscopy and EBUS may be useful for avoiding severe bleeding associated with biopsy of a cavitary lesion. John Wiley & Sons, Ltd 2021-05-10 /pmc/articles/PMC8111060/ /pubmed/34012548 http://dx.doi.org/10.1002/rcr2.766 Text en © 2021 The Authors. Respirology Case Reports published by John Wiley & Sons Australia, Ltd on behalf of The Asian Pacific Society of Respirology. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Case Reports Hamaguchi, Megumi Kurimoto, Noriaki Tsubata, Yukari Okuno, Takae Tanino, Akari Hotta, Takamasa Isobe, Takeshi Use of saline to evaluate a cavity due to Mycobacterium kansasii infection during ultrathin bronchoscopy and endobronchial ultrasonography |
title | Use of saline to evaluate a cavity due to Mycobacterium kansasii infection during ultrathin bronchoscopy and endobronchial ultrasonography |
title_full | Use of saline to evaluate a cavity due to Mycobacterium kansasii infection during ultrathin bronchoscopy and endobronchial ultrasonography |
title_fullStr | Use of saline to evaluate a cavity due to Mycobacterium kansasii infection during ultrathin bronchoscopy and endobronchial ultrasonography |
title_full_unstemmed | Use of saline to evaluate a cavity due to Mycobacterium kansasii infection during ultrathin bronchoscopy and endobronchial ultrasonography |
title_short | Use of saline to evaluate a cavity due to Mycobacterium kansasii infection during ultrathin bronchoscopy and endobronchial ultrasonography |
title_sort | use of saline to evaluate a cavity due to mycobacterium kansasii infection during ultrathin bronchoscopy and endobronchial ultrasonography |
topic | Case Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8111060/ https://www.ncbi.nlm.nih.gov/pubmed/34012548 http://dx.doi.org/10.1002/rcr2.766 |
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