Removal of hematoma due to massive hemoptysis after transbronchial biopsy: a case report
Abstract 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 o...
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| Format: | Article |
| Language: | English |
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Japan Surgical Society
2021-11-01
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| Series: | Surgical Case Reports |
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| Online Access: | https://doi.org/10.1186/s40792-021-01323-3 |
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| author | Harushi Ueno Hideki Tsubouchi Keita Nakanishi Tomoshi Sugiyama Yuka Kadomatsu Masaki Goto Naoki Ozeki Shota Nakamura Takayuki Fukui Toyofumi Fengshi Chen-Yoshikawa |
| author_facet | Harushi Ueno Hideki Tsubouchi Keita Nakanishi Tomoshi Sugiyama Yuka Kadomatsu Masaki Goto Naoki Ozeki Shota Nakamura Takayuki Fukui Toyofumi Fengshi Chen-Yoshikawa |
| author_sort | Harushi Ueno |
| collection | DOAJ |
| description | Abstract 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. |
| format | Article |
| id | doaj-art-d3f7372a5e8b4c0db630505c75d399ca |
| institution | DOAJ |
| issn | 2198-7793 |
| language | English |
| publishDate | 2021-11-01 |
| publisher | Japan Surgical Society |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj-art-d3f7372a5e8b4c0db630505c75d399ca2025-08-20T02:51:24ZengJapan Surgical SocietySurgical Case Reports2198-77932021-11-01711410.1186/s40792-021-01323-3Removal of hematoma due to massive hemoptysis after transbronchial biopsy: a case reportHarushi Ueno0Hideki Tsubouchi1Keita Nakanishi2Tomoshi Sugiyama3Yuka Kadomatsu4Masaki Goto5Naoki Ozeki6Shota Nakamura7Takayuki Fukui8Toyofumi Fengshi Chen-Yoshikawa9Department of Thoracic Surgery, Nagoya University Graduate School of MedicineDepartment of Thoracic Surgery, Nagoya University Graduate School of MedicineDepartment of Thoracic Surgery, Nagoya University Graduate School of MedicineDepartment of Thoracic Surgery, Nagoya University Graduate School of MedicineDepartment of Thoracic Surgery, Nagoya University Graduate School of MedicineDepartment of Thoracic Surgery, Nagoya University Graduate School of MedicineDepartment of Thoracic Surgery, Nagoya University Graduate School of MedicineDepartment of Thoracic Surgery, Nagoya University Graduate School of MedicineDepartment of Thoracic Surgery, Nagoya University Graduate School of MedicineDepartment of Thoracic Surgery, Nagoya University Graduate School of MedicineAbstract 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.https://doi.org/10.1186/s40792-021-01323-3Transbronchial biopsyHemoptysisSutured shut |
| spellingShingle | Harushi Ueno Hideki Tsubouchi Keita Nakanishi Tomoshi Sugiyama Yuka Kadomatsu Masaki Goto Naoki Ozeki Shota Nakamura Takayuki Fukui Toyofumi Fengshi Chen-Yoshikawa Removal of hematoma due to massive hemoptysis after transbronchial biopsy: a case report Surgical Case Reports Transbronchial biopsy Hemoptysis Sutured shut |
| 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 | Transbronchial biopsy Hemoptysis Sutured shut |
| url | https://doi.org/10.1186/s40792-021-01323-3 |
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