Removal of hematoma due to massive hemoptysis after transbronchial biopsy: a case report

BACKGROUND: Massive hemoptysis is a life-threatening complication after transbronchial biopsy (TBB). Reports on massive hemoptysis occurring several days after TBB are scarce. CASE PRESENTATION: A 62-year-old man presented with massive hemoptysis and was admitted to hospital as an emergency on the e...

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Autores principales: Ueno, Harushi, Tsubouchi, Hideki, Nakanishi, Keita, Sugiyama, Tomoshi, Kadomatsu, Yuka, Goto, Masaki, Ozeki, Naoki, Nakamura, Shota, Fukui, Takayuki, Chen-Yoshikawa, Toyofumi Fengshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8566610/
https://www.ncbi.nlm.nih.gov/pubmed/34731346
http://dx.doi.org/10.1186/s40792-021-01323-3
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author Ueno, Harushi
Tsubouchi, Hideki
Nakanishi, Keita
Sugiyama, Tomoshi
Kadomatsu, Yuka
Goto, Masaki
Ozeki, Naoki
Nakamura, Shota
Fukui, Takayuki
Chen-Yoshikawa, Toyofumi Fengshi
author_facet Ueno, Harushi
Tsubouchi, Hideki
Nakanishi, Keita
Sugiyama, Tomoshi
Kadomatsu, Yuka
Goto, Masaki
Ozeki, Naoki
Nakamura, Shota
Fukui, Takayuki
Chen-Yoshikawa, Toyofumi Fengshi
author_sort Ueno, Harushi
collection PubMed
description BACKGROUND: Massive hemoptysis is a life-threatening complication after transbronchial biopsy (TBB). Reports on massive hemoptysis occurring several days after TBB are scarce. CASE PRESENTATION: A 62-year-old man presented with massive hemoptysis and was admitted to hospital as an emergency on the eighth day after TBB. On the 12th day after TBB, computed tomography showed complete atelectasis of the right middle and lower lobes. The patient underwent emergent right upper lobectomy. The right upper lobe bronchus was separated with a scalpel, the hematoma was pulled out with forceps, and the bronchus subsequently sutured shut. The patient was discharged from the hospital uneventfully. CONCLUSIONS: We experienced a case of massive hemoptysis on the eighth day after TBB, which required emergency surgery due to persistent bleeding into the airway and airway obstruction during follow-up. Postoperative pneumonia and atelectasis could be prevented by manual removal of the residual hematoma.
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spelling pubmed-85666102021-11-15 Removal of hematoma due to massive hemoptysis after transbronchial biopsy: a case report Ueno, Harushi Tsubouchi, Hideki Nakanishi, Keita Sugiyama, Tomoshi Kadomatsu, Yuka Goto, Masaki Ozeki, Naoki Nakamura, Shota Fukui, Takayuki Chen-Yoshikawa, Toyofumi Fengshi Surg Case Rep Case Report BACKGROUND: Massive hemoptysis is a life-threatening complication after transbronchial biopsy (TBB). Reports on massive hemoptysis occurring several days after TBB are scarce. CASE PRESENTATION: A 62-year-old man presented with massive hemoptysis and was admitted to hospital as an emergency on the eighth day after TBB. On the 12th day after TBB, computed tomography showed complete atelectasis of the right middle and lower lobes. The patient underwent emergent right upper lobectomy. The right upper lobe bronchus was separated with a scalpel, the hematoma was pulled out with forceps, and the bronchus subsequently sutured shut. The patient was discharged from the hospital uneventfully. CONCLUSIONS: We experienced a case of massive hemoptysis on the eighth day after TBB, which required emergency surgery due to persistent bleeding into the airway and airway obstruction during follow-up. Postoperative pneumonia and atelectasis could be prevented by manual removal of the residual hematoma. Springer Berlin Heidelberg 2021-11-03 /pmc/articles/PMC8566610/ /pubmed/34731346 http://dx.doi.org/10.1186/s40792-021-01323-3 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Case Report
Ueno, Harushi
Tsubouchi, Hideki
Nakanishi, Keita
Sugiyama, Tomoshi
Kadomatsu, Yuka
Goto, Masaki
Ozeki, Naoki
Nakamura, Shota
Fukui, Takayuki
Chen-Yoshikawa, Toyofumi Fengshi
Removal of hematoma due to massive hemoptysis after transbronchial biopsy: a case report
title Removal of hematoma due to massive hemoptysis after transbronchial biopsy: a case report
title_full Removal of hematoma due to massive hemoptysis after transbronchial biopsy: a case report
title_fullStr Removal of hematoma due to massive hemoptysis after transbronchial biopsy: a case report
title_full_unstemmed Removal of hematoma due to massive hemoptysis after transbronchial biopsy: a case report
title_short Removal of hematoma due to massive hemoptysis after transbronchial biopsy: a case report
title_sort removal of hematoma due to massive hemoptysis after transbronchial biopsy: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8566610/
https://www.ncbi.nlm.nih.gov/pubmed/34731346
http://dx.doi.org/10.1186/s40792-021-01323-3
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