Keywords
pleural biopsy
Abrams needle
etiology
How to Cite
Abstract
Introduction :
Blind pleural biopsy is a technique of exploration of the pleura for the search of etiologies of pleurisy. The objective of our work is to show the interest of this examination in the research of the etiologies of exudative pleurisy.
Materials and methods :
This is a prospective descriptive and cross-sectional study carried out in the pneumo-phthisiology department of the national hospital of Zinder from June 2018 to June 2022. Patients were included as they came to the department for consultation or hospitalization during the study period. Abrams needle was the instrument used for pleural biopsy.
Results :
Sixty-eight (68) patients were included, 43 males and 25 females, a sex ratio of 1.72. The mean age of the patients was 49 years with extremes from 16 to 70 years. 32 patients (47%) were between 25 and 49 years of age. The HIV test was positive for HIV1 in 6 patients (9%). The macroscopic appearance of the pleural fluid was mainly light yellow (76%) and hemorrhagic (26%). Pleural biopsy was significantly more cost-effective in subjects younger than 60 years of age and HIV-negative (p < 0.05). Tuberculosis etiologies were found in 39 patients (57%) and neoplasia in 10 patients (15%).
Conclusion :
Pleural biopsy is an important examination in the etiological research of exudative pleurisy, especially in our context of high prevalence of tuberculosis. It allows a better rationalization of the use of anti-tuberculosis drugs.
References
1. Greillier L, Peloni JM, Fraticelli A, Astoul P. Méthodes d’investigation de la plèvre. In EMC de pneumologie. Elsevier-Masson. 2005 ; 6-000-F-55 : 1-15.
2. Ze JJ, Atangana PJ, Bitchong Ekono MC, Afane Ze, Ngo Nonga B. Etiologies of Pleural Exudates after Cytology and Biopsies in Yaoundé. Lung Dis Treat. 2017 ; 3 (124) : doi:10.4172/2472-1018.1000124.
3. Gbadamassi GA, Adjoh KS, Wachinou P, Tidjani O. Étiologies des pleurésies chez le noir africain: Aspects épidémiologiques, cliniques, thérapeutiques et évolutifs au Togo : A propos de 337 cas colligés dans le service de pneumophtisiologie et des maladies infectieuses du CHU Tokoin de Lomé. JATV. 2012 ; 2: 98-102.
4. Diallo S, Hassan M, Sissoko F, M’Baye O, Gomez P. Etiologies des pleurésies dans le service de pneumologie du point G. Mali Méd. 2006 ; 4: 39-41.
5. Adambounou AS, Adjoh KS, Efalou P, Cbadamassi AG, Aziagbé KA, Maiga S et al. Apport de la biopsie pleurale à l’aveugle par l’aiguille d’Abrams dans le diagnostic des pleurésies exsudatives non purulentes. Rev Pneumol Trop. 2018 ; 29 : 3-8.
6. Adjoh KS, Adambounou AS, Gagara IM, Bako M, Aziagbé KA, Soumana A et al. Comparaison de la rentabilité diagnostique de la biopsie pleurale unique versus double iopsie par l’aiguille d’Abrams dans les pleurésies exsudatives non purulentes du sujet âgé. J Fran Viet Pneu. 2016 ; 21(7) : 20-3.
7. Gentina T, Tremblay A, Brichet A, Ramo, P, Marquette CH. Les biopsies pleurales à l’aveugle. Rev Mal Respir. 2002 ; 19: 533-6.
8. Aldez-López HG, Cano-Rodríguez AI, Montemayor-Chapa M, Castillo-Sánchez JF. Rentabilidad diagnóstica de la biopsia pleural cerrada: Tru-cut frente a Cope [Diagnostic rentability of close pleural biopsy: Tru-cut vs. Cope]. Rev Med Inst Mex Seguro Soc. 2018 Jan-Feb ; 56 (1) :12-17.
9. Adambounou AS, Issa H, Gbadamassi AG, Bawé L, Gagara IM, Aziagbé KA et al. Particularities of pleurisy in subjects immunocompromised to HIV in the pneumology department of the Sylvanus Olympio University Hospital in Lomé. J Func Vent Pulm. 2022 ; 40 (13) : 29-34.
10. https://www.unaids.org/en/resources/docu ments/2020/unaids-data.
11. Rakotoson JL, Andrianasolo RL, Rakotomizao RJ, Vololontiana MD, Ravahatra K, Rajaoarifetra J et al. Etiologies des pleurésies exsudatives : à propos de 424 cas à Madagascar. PAMJ, 2011 ; 9 : 35.
12. Edgar JR, Wong ML, Hale M, Menezes CN. Histopathological diagnoses on pleural biopsy specimens over a 15-year period at Chris Hani Baragwanath Academic Hospital, ohannesburg, South Africa: A retrospective review. S Afr Med J. 2018 Dec 13 ;109 (1) : 53-57.
13. James P, Gupta R, Christopher J, Balamugesh T. Evaluation of the diagnostic yield and safety of closed pleural biopsy in the diagnosis of pleural effusion. Indian J Tuberc. 2010 ; 57(1):19-24.
14. Mei F, Bonifazi M, Rota M, Cirilli L, Grilli M, Duranti C et al. Diagnostic Yield and Safety of Image-Guided Pleural Biopsy: A Systematic Review and Meta-Analysis. Respiration. 2021;100 (1) :77-87.
15. Toloba Y, Diallo S, Sissoko BF, Kamate B, Ouattara K, Soumare D, Keita B. Ponction biopsie pleurale dans le diagnostic étiologique des pleurésies. Rev Mal Respir. 2011 ; 28 : 881-4.
16. Ezemba N, Eze JC, Anyanwu CH. Percutaneous needle pleural biopsies in pleural effusion of uncertain aetiology in a Nigerian teaching hospital. Trop Doct. 2006 ; 36: 112-114.
Metrics
Downloads
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2026 H Issa, M Gagara Issoufou, A Garba, M Doutchi, A Amoussa, T Adambounou, K Adjoh