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Iatrogenic Delayed Pneumothorax After Transbronchial Biopsy
Kartikeya Rajdev1, Dustin N Herring1, Shubham Lahan2
1University of Nebraska Medical Center, Omaha, NE, USA.
Journal of Investigative Medicine High Impact Case Reports
|August 7, 2020
Summary
Delayed pneumothorax after transbronchial biopsy (TBB) is rare, especially in immunocompromised patients. This case highlights an uncommon occurrence, suggesting altered immune responses may contribute to this rare TBB complication.
Area of Science:
- Pulmonology
- Medical Procedures
- Immunology
Background:
- Transbronchial biopsy (TBB) is a common pulmonology procedure.
- While generally low-risk, TBB can lead to complications like pneumothorax.
- Delayed pneumothorax following TBB is a rare event, with few reported cases over decades.
Observation:
- This report details an unusual case of delayed iatrogenic pneumothorax after TBB.
- The patient was immunocompromised, a factor noted in similar rare occurrences.
- The specific pathophysiology of delayed pneumothorax remains largely unclear.
Findings:
- Delayed pneumothorax occurred in an immunocompromised patient post-TBB.
- The event underscores the potential for rare complications even with low-risk procedures.
- Altered immune mechanics in immunocompromised individuals may play a role.
Implications:
- Highlights the importance of vigilance for delayed pneumothorax in specific patient groups.
- Suggests further research into the pathophysiology of delayed pneumothorax, particularly in immunocompromised patients.
- Informs clinical practice regarding risk assessment and monitoring after TBB in vulnerable populations.
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