Annals of Thoracic Medicine Official publication of the Saudi Thoracic Society, affiliated to King Saud University
 
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CASE REPORT
Year : 2012  |  Volume : 7  |  Issue : 2  |  Page : 107-109

Fatal mediastinal biopsy: How interventional radiology saves the day


1 Department of Radiology, UKM Medical Center, Jalan Ya'acob Latif, Bandar Tun Razak, Cheras, Kuala Lumpur, Malaysia
2 Department of Radiology and Head of the Endovascular and Interventional Unit, UKM Medical Center, Jalan Ya'acob Latif, Bandar Tun Razak, Cheras, Kuala Lumpur, Malaysia

Correspondence Address:
Y Yaacob
Department of Radiology, UKM Medical Center, Jalan Ya'acob Latif, Bandar Tun Razak, 56000, Cheras, Kuala Lumpur
Malaysia
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DOI: 10.4103/1817-1737.94534

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This was a case of a 35-year-old man with mediastinal mass requiring computed tomography (CT)-guided biopsy for tissue diagnosis. A posterior approach with an 18-gauge biopsy needle was used to obtain tissue sample. Post biopsy, patient condition deteriorated and multiphase CT study detected active bleeding in arterial phase at the biopsy site with massive hemothorax. Subsequent angiography showed arterial bleeder arising from the apical branch of the right pulmonary artery. Selective endovascular embolization with NBCA (n-Butyl cyanoacrylate) was successful. Patient survived the complication. The case highlighted a rare complication in a common radiology procedure and the value of the interventional radiology unit in avoiding a fatal outcome.


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