Massive Subcutaneous Emphysema and Pneumo-Mediastinum after Percutaneous Lung Biopsy

Introduction Transthoracic percutaneous computed tomography (CT)-guided lung biopsy is an established procedure for obtaining tissue diagnosis in lung masses with diagnostic accuracy up to 98%.[ 1 ] Post procedure complications such as pneumothorax and pulmonary hemorrhage, leading to hemoptysis are relatively frequent.[ 2 ] Pneumothorax incidence varies from 15% to 54% with subsequent chest drain required in 1.4% to 16.7% of patients.[ 2 ] Here, we describe a case of a 69-year-old man who developed mild pneumothorax during CT-guided lung biopsy with bilateral extensive subcutaneous emphysema and pneumomediastinum 48 hours later. Publication History Article published online: 28 November 2022 © 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/) Thieme Medical and Scientific Publishers Pvt. Ltd. A-12, 2nd Floor, Sector 2, Noida-201301 UP, India