대한영상의학회지 (Journal of the Korean Society of Radiology)

  • 제84권1호
  • /
  • Pages.311-317
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  • 2023
  • /
  • 1738-2637(pISSN)
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  • 2288-2928(eISSN)
대한영상의학회 (The Korean Society of Radiology)
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컴퓨터단층촬영 유도 경피적 바늘 생검 이후에 발생한 혈종으로 채워진 기종: 두 건의 증례 보고

Hematoma-Filled Pneumatocele after CT-Guided Percutaneous Transthoracic Needle Lung Biopsy: Two Case Reports

  • 강세리 (원광대학교 의과대학 원광대학교병원 영상의학과)
  • Se Ri Kang (Department of Radiology, Wonkwang University Hospital, Wonkwang University School of Medicine)
  • 투고 : 2022.06.18
  • 심사 : 2022.09.02
  • 발행 : 2023.01.01
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초록

컴퓨터단층촬영 유도 경피적 바늘 생검은 폐 이상 진단에 중요한 역할을 하며, 안전하고 효과적이지만 기흉, 출혈, 객혈, 공기 색전증 및 종양 파종과 같은 합병증의 위험이 있다고 알려져 있다. 그러나 시술 후 발생한 기종에 대한 증례 보고는 드물다. 저자들은 원발성 폐암의 경피적 바늘 생검 직후 발생한 기종 2예를 보고하고자 한다. 시술 후 단기 추적검사 컴퓨터단층 촬영에서 바늘 경로를 따라 새로 생긴 결절의 경우 혈종으로 찬 기종을 의심해야 한다.

CT-guided percutaneous transthoracic needle biopsy (PTNB) plays a key role in the diagnosis of pulmonary abnormalities. Although the procedure is considered safe and effective, there exists a potential for complications, such as pneumothorax, hemorrhage, hemoptysis, air embolism, and tumor seeding. However, pneumatoceles after CT-guided PTNB have been rarely reported. Herein, we report two cases of pneumatoceles that developed immediately after PTNB for primary lung cancer. A pneumatocele filled with hematoma should be considered in cases with a newly developed nodule along the needle tract during short-term follow-up CT after PTNB.

키워드

과제정보

This study was supported by Wonkwang University 2022.

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