Transbronchial EBUS-guided aspiration of a loculated pleural collection following right superior bilobectomy: a case report

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dc.contributor.authorBatihan, Guntug
dc.contributor.authorTopaloglu, Ihsan
dc.date.accessioned2026-02-03T12:00:31Z
dc.date.available2026-02-03T12:00:31Z
dc.date.issued2025
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractBackgroundPostoperative loculated pleural collections can mimic empyema and present diagnostic challenges, especially when transthoracic access is limited due to altered anatomy.Case presentationWe present the case of a 67-year-old male who developed a pleural collection six months after right superior bilobectomy for central squamous cell lung carcinoma. Due to mediastinal shift and limited transthoracic access, EBUS was used under LMA ventilation to access the loculated pleural pocket adjacent to the right paratracheal region. This unconventional but anatomically justified approach allowed safe sampling when standard ultrasound-guided thoracentesis was not feasible, demonstrating a minimally invasive diagnostic alternative in complex postoperative thoracic anatomies. A total of 15 cc pleural fluid was aspirated, which grew Streptococcus pneumoniae. The patient responded well to antibiotics and remains asymptomatic at 9 months.ConclusionsThis case highlights a novel application of EBUS in post-surgical thoracic anatomy, offering a minimally invasive alternative when conventional aspiration routes are inaccessible.
dc.identifier.doi10.1186/s12893-025-03317-6
dc.identifier.issn1471-2482
dc.identifier.issue1
dc.identifier.pmid41257805
dc.identifier.scopus2-s2.0-105022228961
dc.identifier.scopusqualityQ2
dc.identifier.urihttps://doi.org/10.1186/s12893-025-03317-6
dc.identifier.urihttps://hdl.handle.net/20.500.12428/34632
dc.identifier.volume25
dc.identifier.wosWOS:001618987800003
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherBmc
dc.relation.ispartofBmc Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WOS_20260130
dc.subjectEBUS
dc.subjectEmpyema
dc.subjectPleural effusion
dc.subjectBilobectomy
dc.subjectBronchoscopy
dc.subjectLoculated collection
dc.titleTransbronchial EBUS-guided aspiration of a loculated pleural collection following right superior bilobectomy: a case report
dc.typeArticle

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