Key result
Transbronchial needle aspiration linked to rare aseptic pericarditis and mediastinal hematoma resolving with ibuprofen.
Case Report (n=1)
Transbronchial needle aspiration can rarely cause aseptic pericarditis and mediastinal hematoma, which may be managed conservatively.
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Clinicians should remain vigilant for rare pericardial complications after transbronchial needle aspiration; this case leaves open incidence and risk-factor questions.
Transbronchial needle aspiration is a safe procedure with a complication rate under 1%. Aseptic pericarditis and mediastinal hematoma are rare complications. We present a case of a 40-year-old patient who underwent left paratracheal lymph node biopsy with a 21-g needle who sustained both aseptic pericarditis and a mediastinal hematoma. His symptoms of pericarditis were treated with ibuprofen, whereas the hematoma resolved spontaneously.
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Addrizzo‐Harris et al. (2005) conducted a case report in Aseptic pericarditis and mediastinal hematoma (n=1). Transbronchial needle aspiration was evaluated. Transbronchial needle aspiration caused rare complications of aseptic pericarditis and a mediastinal hematoma in a 40-year-old male, which were managed with ibuprofen and spontaneous resolution.
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