Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) is a safe and minimally
invasive diagnostic technique for the analysis of mediastinal lesions. This case report
describes a patient who developed a life-threatening mediastinitis after EUS-FNA of
a mediastinal lesion, which (based on computed tomography of the thorax) had been
suspected to be a lymph-node metastasis, but proved to be a bronchogenic cyst.
References
- 1
Wiersema M J, Vilmann P, Giovannini M. et al .
Endosonography-guided fine- needle aspiration biopsy: diagnostic accuracy and complication
assessment.
Gastroenterology.
1997;
112
1087-1095
- 2
Williams D B, Sahai A V, Aabakken L. et al .
Endoscopic ultrasound-guided fine- needle aspiration biopsy: a large single centre
experience.
Gut.
1999;
44
720-726
- 3
Fritscher-Ravens A, Sriram J, Bobrowski C. et al .
Mediastinal lymphadenopathy in patients with or without previous malignancy: EUS-FNA
based differential cytodiagnosis in 153 patients.
Am J Gastroenterol.
2000;
95
2278-2284
- 4
Larsen S, Krasnik M, Vimann P. et al .
Endoscopic ultrasound guided biopsy of mediastinal lesions has a major impact on patient
management.
Thorax.
2002;
57
98-103
- 5
Strollo D, Rosado d e, Jett J.
Primary mediastinal tumors, 2: tumors of the middle and posterior mediastinum.
Chest.
1997;
102
1344-1357
- 6
Bolton J, Shahian D.
Asymptomatic bronchogenic cysts: what is the best management?.
Ann Thorac Surg.
1992;
53
1134-1137
- 7
Patel S, Meeker D, Biscotti C V. et al .
Presentation and management of bronchogenic cysts in the adult.
Chest.
1994;
106
79-85
- 8
Ryan A, Zamvar V, Roberts S.
Iatrogenic Candida infection of a mediastinal foregut cyst following endoscopic ultrasound-guided fine-needle
aspiration.
Endoscopy.
2002;
34
838-839
J. T. Annema, M.D.
Dept. of Pulmonology C3 P · Leiden University Medical Center
Albinusdreef 2 · Post Box 9600 · 2300 RC Leiden · The Netherlands
Fax: +31-71-5266927
Email: j.t.annema@lumc.nl
