Fatal mediastinal biopsy: How interventional radiology saves the day

Fatal mediastinal biopsy: How interventional radiology saves the day

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This was a case of a 35-year-old man with mediastinal mass requiring computed tomography (CT)-guided biopsy for tissue diagnosis.A posterior approach with an 18-gauge biopsy needle was used to obtain tissue sample.Post biopsy, patient condition deteriorated and multiphase CT study detected active bleeding in arterial phase at the biopsy site creme x hello kitty strawberry milk toner with massive hemothorax.

Subsequent angiography showed arterial bleeder arising from spacecase lemonhead the apical branch of the right pulmonary artery.Selective endovascular embolization with NBCA (n-Butyl cyanoacrylate) was successful.Patient survived the complication.

The case highlighted a rare complication in a common radiology procedure and the value of the interventional radiology unit in avoiding a fatal outcome.