Pneumomediastinum and surgical emphysema following EBUS-TBNA with a 22-gauge needle in a patient with hypersensitivity pneumonitis

BMJ Case Reports 2026

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Authors: Sobia Chaudhary, Razan Ghareeb, Nirasha Jayathilika, Jaymin Bhagwanji Morjaria
DOI: 10.1136/bcr-2025-270109
Cited by: 0
References: 10

Abstract

Endobronchial ultrasound with transbronchial needle aspiration (EBUS-TBNA) is a commonly performed safe diagnostic procedure, though complications such as pneumomediastinum and surgical emphysema are rare. In this report, we describe the case of a male in his early 50s diagnosed with hypersensitivity pneumonitis who developed these complications following an EBUS-TBNA and fibreoptic bronchoscopy procedure. The patient's condition was promptly recognised and managed conservatively, leading to a rapid recovery within 24 hours. This case emphasises the need for clinical vigilance, even with routine procedures, especially in patients with interstitial lung diseases.

Fields of Study & Subjects

Pneumothorax Barotrauma Emphysema Tracheal and airway disorders Pleural and Pulmonary Diseases

Publication details

Journal / source
BMJ Case Reports
Volume
19
Issue
1
Pages
e270109–e270109
Publication date
1 January 2026
Language
EN