Mediastinal Abscess Formation after EUS-Guided Sampling in a Young Patient with Sarcoidosis: Be Aware of the Increased Risk

Abstract International guidelines establish EUS-guided sampling as safe and accurate for the evaluation of mediastinal solid lesions, such as lymphadenopathies of unknown origin, and point out an increased risk of severe infectious complications induced by needle puncture in mediastinal cystic lesio...

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Bibliographic Details
Published in:GE Portuguese journal of gastroenterology 2023-11, Vol.30 (Suppl 2), p.17-20
Main Authors: Bispo, Miguel, Marques, Susana, de Campos, Sara Teles, Rio-Tinto, Ricardo, Fidalgo, Paulo, Devière, Jacques
Format: Article
Language:English
Subjects:
Abscesses
Antibiotics
Biopsy
Bronchoscopy
Case reports
Clinical Case Study
Clinical trials
Conflicts of interest
Cysts
Disease prevention
endoscopic ultrasound-guided sampling
Endoscopy
Esophagus
Granulomas
Infections
Lymphatic system
mediastinal abscess
mediastinitis
Patients
Sarcoidosis
Ultrasonic imaging
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Description
Summary:Abstract International guidelines establish EUS-guided sampling as safe and accurate for the evaluation of mediastinal solid lesions, such as lymphadenopathies of unknown origin, and point out an increased risk of severe infectious complications induced by needle puncture in mediastinal cystic lesions. A retrospective case series and a systematic review documented an increased risk of mediastinal abscess formation after EUS-guided lymph nodes sampling in patients with sarcoidosis. The authors describe a case of a 38-year-old male patient with a final diagnosis of sarcoidosis, who developed a large mediastinal abscess after EUS-guided fine-needle biopsy of mediastinal lymphadenopathies. Endoscopists should be aware of the potential increased risk of severe infectious complications when sampling mediastinal lymph nodes in suspected sarcoidosis, and a strategy to minimize such risk should be pursued.
ISSN:2341-4545
2387-1954
DOI:10.1159/000526508