{"title":"内镜超声治疗急性高碳酸血症性呼吸衰竭的罕见原因。","authors":"Vishal Raj, Aman Ahuja, Monika Gupta, Dhruva Chaudhry, Pawan Kumar Singh","doi":"10.4103/lungindia.lungindia_423_24","DOIUrl":null,"url":null,"abstract":"<p><strong>Abstract: </strong>Mediastinal cysts can occasionally cause severe respiratory symptoms. A 60-year-old female smoker presented with acute hypercapnic respiratory failure. Imaging revealed a posterior mediastinal cyst compressing the trachea. Bronchoscopic ultrasound-guided fine needle aspiration (EUS-B FNA) provided both diagnostic clarity and symptomatic relief. This case underscores the importance of considering mediastinal cysts in differential diagnoses of acute respiratory distress and demonstrates the efficacy of EUS-B FNA for both diagnosis and immediate therapeutic intervention.</p>","PeriodicalId":47462,"journal":{"name":"Lung India","volume":"42 2","pages":"151-154"},"PeriodicalIF":1.3000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11952737/pdf/","citationCount":"0","resultStr":"{\"title\":\"An uncommon cause of acute hypercapnic respiratory failure managed with endoscopic ultrasound.\",\"authors\":\"Vishal Raj, Aman Ahuja, Monika Gupta, Dhruva Chaudhry, Pawan Kumar Singh\",\"doi\":\"10.4103/lungindia.lungindia_423_24\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Abstract: </strong>Mediastinal cysts can occasionally cause severe respiratory symptoms. A 60-year-old female smoker presented with acute hypercapnic respiratory failure. Imaging revealed a posterior mediastinal cyst compressing the trachea. Bronchoscopic ultrasound-guided fine needle aspiration (EUS-B FNA) provided both diagnostic clarity and symptomatic relief. This case underscores the importance of considering mediastinal cysts in differential diagnoses of acute respiratory distress and demonstrates the efficacy of EUS-B FNA for both diagnosis and immediate therapeutic intervention.</p>\",\"PeriodicalId\":47462,\"journal\":{\"name\":\"Lung India\",\"volume\":\"42 2\",\"pages\":\"151-154\"},\"PeriodicalIF\":1.3000,\"publicationDate\":\"2025-03-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11952737/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Lung India\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4103/lungindia.lungindia_423_24\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/2/27 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q4\",\"JCRName\":\"RESPIRATORY SYSTEM\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Lung India","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/lungindia.lungindia_423_24","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/2/27 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"RESPIRATORY SYSTEM","Score":null,"Total":0}
An uncommon cause of acute hypercapnic respiratory failure managed with endoscopic ultrasound.
Abstract: Mediastinal cysts can occasionally cause severe respiratory symptoms. A 60-year-old female smoker presented with acute hypercapnic respiratory failure. Imaging revealed a posterior mediastinal cyst compressing the trachea. Bronchoscopic ultrasound-guided fine needle aspiration (EUS-B FNA) provided both diagnostic clarity and symptomatic relief. This case underscores the importance of considering mediastinal cysts in differential diagnoses of acute respiratory distress and demonstrates the efficacy of EUS-B FNA for both diagnosis and immediate therapeutic intervention.
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