Diagnóstico de tromboembolia pulmonar aguda por ecobroncoscopia

Torrents, Ana; Llopis Pitarch, Joan; Llavador Ros, Germán

doi:10.1016/j.opresp.2020.03.007

ISSN: 2659-6636

Open Respiratory Archives is one of the official publications from the Spanish Respiratory Society of Pulmonology and Thoracic Surgery (SEPAR) and a companion title to the highly-regarded Archivos de Bronconeumología.

Open Respiratory Archives is a new online only, open access, peer reviewed journal that publishes original studies whose content is based upon results dealing with several aspects of respiratory diseases such as epidemiology, pathophysiology, clinics, surgery and basic investigation. Other types of articles such as reviews, editorials, clinical images, scientific letters, and letters to the Editor are also published in the Journal. In addition, the Journal may also publish society documents such as guidelines, position documents, statements, and consensus reports as long as redundancy with previous publications in other society journals does not exist or the degree of similarity is low. Authors of this type of society documents must prove scientific accreditation in the target areas.

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Mujer de 66 años, exfumadora y con antecedentes de trombosis venosa profunda, que presenta hallazgo de masa parahiliar derecha con adenopatías. La broncoscopia no fue diagnóstica, por lo que se realizó ecobroncoscopia para diagnóstico y estadificación. Se puncionaron adenopatías en 4L, 7 y 4R, sin disponibilidad de citología in situ. Se observó una lesión hipoecoica, redondeada, bien delimitada, en el interior de la arteria pulmonar izquierda, sugestiva de tratarse de un émbolo1 (fig. 1). Se solicitó angio-TC de arterias pulmonares que confirmó el diagnóstico de tromboembolia en la arteria pulmonar principal izquierda y arterias segmentarias del lóbulo superior e inferior izquierdos2. Se inició anticoagulación a dosis terapéuticas. El diagnóstico final fue de carcinoma de células escamosas en estadio T4N3M0 y tromboembolia pulmonar.