Iatrogenic “buffalo chest” bilateral pneumothoraces following unilateral transbronchial lung biopsies in a bilateral lung transplant recipient

We present a 54 year old male patient who had a bilateral lung transplant sixteen years ago for Alpha-1 Antitrypsin Deficiency-related emphysema. He was referred for flexible bronchoscopy with transbronchial biopsies to evaluate new mild exertional dyspnea and worsening of his FEV1. Eight transbronc...

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Main Authors: Leith Sawalha, William J. Gibbons
Format: Article
Language:English
Published: Elsevier 2015-01-01
Series:Respiratory Medicine Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213007115000404
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author Leith Sawalha
William J. Gibbons
author_facet Leith Sawalha
William J. Gibbons
author_sort Leith Sawalha
collection DOAJ
description We present a 54 year old male patient who had a bilateral lung transplant sixteen years ago for Alpha-1 Antitrypsin Deficiency-related emphysema. He was referred for flexible bronchoscopy with transbronchial biopsies to evaluate new mild exertional dyspnea and worsening of his FEV1. Eight transbronchial biopsies were done from the right middle lobe and the right lower lobe. Post procedure he developed bilateral pneumothoces that required emergent bilateral pleural ‘pigtail’ catheters. To our knowledge, this is the first reported case of bilateral pneumothoraces that developed after a unilateral procedure in a bilateral lung transplant recipient relatively late after the transplant.
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spelling doaj.art-43f82062f5594a53b426cb6144f345af2022-12-22T01:50:13ZengElsevierRespiratory Medicine Case Reports2213-00712015-01-0115C575810.1016/j.rmcr.2015.05.006Iatrogenic “buffalo chest” bilateral pneumothoraces following unilateral transbronchial lung biopsies in a bilateral lung transplant recipientLeith SawalhaWilliam J. GibbonsWe present a 54 year old male patient who had a bilateral lung transplant sixteen years ago for Alpha-1 Antitrypsin Deficiency-related emphysema. He was referred for flexible bronchoscopy with transbronchial biopsies to evaluate new mild exertional dyspnea and worsening of his FEV1. Eight transbronchial biopsies were done from the right middle lobe and the right lower lobe. Post procedure he developed bilateral pneumothoces that required emergent bilateral pleural ‘pigtail’ catheters. To our knowledge, this is the first reported case of bilateral pneumothoraces that developed after a unilateral procedure in a bilateral lung transplant recipient relatively late after the transplant.http://www.sciencedirect.com/science/article/pii/S2213007115000404Lung transplantPneumothoraxTransbronchial lung biopsy
spellingShingle Leith Sawalha
William J. Gibbons
Iatrogenic “buffalo chest” bilateral pneumothoraces following unilateral transbronchial lung biopsies in a bilateral lung transplant recipient
Respiratory Medicine Case Reports
Lung transplant
Pneumothorax
Transbronchial lung biopsy
title Iatrogenic “buffalo chest” bilateral pneumothoraces following unilateral transbronchial lung biopsies in a bilateral lung transplant recipient
title_full Iatrogenic “buffalo chest” bilateral pneumothoraces following unilateral transbronchial lung biopsies in a bilateral lung transplant recipient
title_fullStr Iatrogenic “buffalo chest” bilateral pneumothoraces following unilateral transbronchial lung biopsies in a bilateral lung transplant recipient
title_full_unstemmed Iatrogenic “buffalo chest” bilateral pneumothoraces following unilateral transbronchial lung biopsies in a bilateral lung transplant recipient
title_short Iatrogenic “buffalo chest” bilateral pneumothoraces following unilateral transbronchial lung biopsies in a bilateral lung transplant recipient
title_sort iatrogenic buffalo chest bilateral pneumothoraces following unilateral transbronchial lung biopsies in a bilateral lung transplant recipient
topic Lung transplant
Pneumothorax
Transbronchial lung biopsy
url http://www.sciencedirect.com/science/article/pii/S2213007115000404
work_keys_str_mv AT leithsawalha iatrogenicbuffalochestbilateralpneumothoracesfollowingunilateraltransbronchiallungbiopsiesinabilaterallungtransplantrecipient
AT williamjgibbons iatrogenicbuffalochestbilateralpneumothoracesfollowingunilateraltransbronchiallungbiopsiesinabilaterallungtransplantrecipient