Document Detail

Unilateral re-expansion pulmonary edema following treatment of pneumothorax with exceptionally massive sputum production, followed by circulatory collapse.
MedLine Citation:
PMID:  20422058     Owner:  NLM     Status:  MEDLINE    
A case of a 61-year-old man who developed ipsilateral re-expansion pulmonary edema after pleural drainage for a right pneumothorax is described. The patient's chest x-ray revealed a totally collapsed right lung. After insertion of a chest drainage tube, he began to produce a moderate amount of serous, yellowish sputum. Despite continuous positive airway pressure support, his dyspnea gradually worsened and his oxygenation could not be maintained; therefore, to improve his hypoxemic state, intubation was necessary. His chest x-ray following chest tube insertion showed ipsilateral diffuse infiltrates. These radiographic and physical findings were consistent with re-expansion pulmonary edema. The present case was complicated by extreme hypotension and tachycardia due to massive fluid loss. His condition gradually improved with invasive mechanical ventilation. Re-expansion pulmonary edema is an uncommon complication of pleural drainage for pneumothorax, and therapy is supportive. In the present case, the exceptional severity of the pulmonary edema, as well as its general concept, is reviewed in accordance with other relevant literature.
Teruya Komatsu; Sumiya Shibata; Ryutaro Seo; Keisuke Tomii; Kyousuke Ishihara; Takurou Hayashi; Yutaka Takahashi
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Canadian respiratory journal : journal of the Canadian Thoracic Society     Volume:  17     ISSN:  1916-7245     ISO Abbreviation:  Can. Respir. J.     Publication Date:    2010 Mar-Apr
Date Detail:
Created Date:  2010-04-27     Completed Date:  2011-07-12     Revised Date:  2011-07-25    
Medline Journal Info:
Nlm Unique ID:  9433332     Medline TA:  Can Respir J     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  53-5     Citation Subset:  IM    
Department of General Thoracic Surgery, Kobe City Medical Center, General Hospital, Kobe, Japan.
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MeSH Terms
Chest Tubes / adverse effects
Continuous Positive Airway Pressure
Drainage / adverse effects*,  methods
Middle Aged
Pneumothorax / therapy*
Pulmonary Edema / etiology*,  metabolism*,  therapy
Respiration, Artificial
Severity of Illness Index
Shock / etiology*
Sputum / metabolism*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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