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Fatal airway obstruction due to endobronchial bleeding post cryobiopsy: a case report

Year: 2025

Type: article

Abstract: Cryobiopsy offers an advantage because of the extraction of more extensive tissue and enhanced diagnostic accuracy. However, the risk of bleeding from the biopsy site is higher. We report a lung tumor patient who experienced bleeding in the right main bronchus after cryobiopsy. Suctioning was performed, cold saline was administered, and the bleeding stopped. Five minutes after the procedure, the patient experienced desaturation. A re-bronchoscopy found massive bleeding in the right main bronchus which spread to the left main bronchus. Suctioning was performed, cold saline and epinephrine were administered. Before further treatment was given, the patient got cardiac arrest and he was treated in the intensive care unit. This highlighted the importance of training and considering the additional precautions for bleeding control. Intensive monitoring of the patients is needed when performing cryobiopsy to prepare for the early management of complications, especially for those patients with risk factors for bleeding in cryobiopsy.

Source: Journal of Surgical Case Reports

DOI: 10.1093/jscr/rjaf231

Authors: Muhammad Nadzir, Isnin Anang Marhana, Farah Fatmawati

Institution: Universitas Airlangga

Language: English

Topic: Lung Cancer Diagnosis and Treatment

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,000