Tuberculosis and Respiratory Diseases | |
Serious Complications after Self-expandable Metallic Stent Insertion in a Patient with Malignant Lymphoma | |
article | |
Sung Bae Cho1  Seon Ah Cha1  Joon Young Choi1  Jong Min Lee1  Hyeon Hui Kang1  Hwa Sik Moon1  Sei Won Kim2  Chang Dong Yeo3  Sang Haak Lee1  | |
[1] Department of Internal Medicine, St. Paul's Hospital, College of Medicine, The Catholic University of Korea;Department of Internal Medicine, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea;Department of Internal Medicine, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea | |
关键词: Airway Obstruction; Stents; Bronchoscopy; Granulation Tissue; | |
DOI : 10.4046/trd.2015.78.1.31 | |
学科分类:医学(综合) | |
来源: The Korean Academy of Tuberculosis and Respiratory Diseases | |
【 摘 要 】
An 18-year-old woman was evaluated for a chronic productive cough and dyspnea. She was subsequently diagnosed with mediastinal non-Hodgkin lymphoma (NHL). A covered self-expandable metallic stent (SEMS) was implanted to relieve narrowing in for both main bronchi. The NHL went into complete remission after six chemotherapy cycles, but atelectasis developed in the left lower lobe 18 months after SEMS insertion. The left main bronchus was completely occluded by granulation tissue. However, the right main bronchus and intermedius bronchus were patent. Granulation tissue was observed adjacent to the SEMS. The granulation tissue and the SEMS were excised, and a silicone stent was successfully implanted using a rigid bronchoscope. SEMS is advantageous owing to its easy implantation, but there are considerable potential complications such as severe reactive granulation, stent rupture, and ventilation failure in serious cases. Therefore, SEMS should be avoided whenever possible in patients with benign airway disease. This case highlights that SEMS implantation should be avoided even in malignant airway obstruction cases if the underlying malignancy is curable.
【 授权许可】
CC BY-NC
【 预 览 】
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