Abstract
A 32 year old woman had a pleural biopsy for a left pleural effusion, which showed caseating granuloma typical of tuberculosis. When the fourth biopsy specimen was removed considerable bleeding occurred from the puncture site. Four days later a bruit was audible over the punctured area, radiating to the back. Eight days after the procedure the patient had a massive bleed into the left pleural space. Selective aortic angiography showed an arteriovenous fistula between the 9th intercostal artery and vein and a pseudoaneurysm in the intercostal punctured area. Thoracotomy showed bleeding from the site of the pleural biopsy. The intercostal vessels were ligated and pleural decortication was performed, and the patient recovered uneventfully.
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- DONOHOE R. F., KATZ S., MATTHEWS M. J. Pleural biopsy as an aid in the etiologic diagnosis of pleural effusion: review of the literature and report of 132 biopsies. Ann Intern Med. 1958 Feb;48(2):344–362. doi: 10.7326/0003-4819-48-2-344. [DOI] [PubMed] [Google Scholar]
- MESTITZ P., PURVES M. J., POLLARD A. C. Pleural biopsy in the diagnosis of pleural effusion; a report of 200 cases. Lancet. 1958 Dec 27;2(7061):1349–1353. doi: 10.1016/s0140-6736(58)91439-9. [DOI] [PubMed] [Google Scholar]
- MacDonald R. S. Pleural aspiration and biopsy. Br Med J. 1980 Apr 19;280(6221):1088–1088. doi: 10.1136/bmj.280.6221.1088-b. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Morrone N., Algranti E., Barreto E. Pleural biopsy with Cope and Abrams needles. Chest. 1987 Dec;92(6):1050–1052. doi: 10.1378/chest.92.6.1050. [DOI] [PubMed] [Google Scholar]
- Müller N. L., Bergin C. J., Miller R. R., Ostrow D. N. Seeding of malignant cells into the needle track after lung and pleural biopsy. Can Assoc Radiol J. 1986 Sep;37(3):192–194. [PubMed] [Google Scholar]
- O'Moore P. V., Mueller P. R., Simeone J. F., Saini S., Butch R. J., Hahn P. F., Steiner E., Stark D. D., Ferrucci J. T., Jr Sonographic guidance in diagnostic and therapeutic interventions in the pleural space. AJR Am J Roentgenol. 1987 Jul;149(1):1–5. doi: 10.2214/ajr.149.1.1. [DOI] [PubMed] [Google Scholar]