Unilateral Re-Expansion Pulmonary Edema following Treatment of Pneumothorax with Exceptionally Massive Sputum Production, followed by Circulatory Collapse
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 serou...
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| Format: | Article |
| Language: | English |
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Wiley
2010-01-01
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| Series: | Canadian Respiratory Journal |
| Online Access: | http://dx.doi.org/10.1155/2010/259195 |
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| author | Teruya Komatsu Sumiya Shibata Ryutaro Seo Keisuke Tomii Kyousuke Ishihara Takurou Hayashi Yutaka Takahashi |
| author_facet | Teruya Komatsu Sumiya Shibata Ryutaro Seo Keisuke Tomii Kyousuke Ishihara Takurou Hayashi Yutaka Takahashi |
| author_sort | Teruya Komatsu |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-79e0738353f4484381bef4b3c5aec6d0 |
| institution | Kabale University |
| issn | 1198-2241 |
| language | English |
| publishDate | 2010-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Canadian Respiratory Journal |
| spelling | doaj-art-79e0738353f4484381bef4b3c5aec6d02025-08-20T03:35:47ZengWileyCanadian Respiratory Journal1198-22412010-01-01172535510.1155/2010/259195Unilateral Re-Expansion Pulmonary Edema following Treatment of Pneumothorax with Exceptionally Massive Sputum Production, followed by Circulatory CollapseTeruya Komatsu0Sumiya Shibata1Ryutaro Seo2Keisuke Tomii3Kyousuke Ishihara4Takurou Hayashi5Yutaka Takahashi6Department of General Thoracic Surgery, Kobe City Medical Center General Hospital, Kobe, JapanDepartment of General Thoracic Surgery, Kobe City Medical Center General Hospital, Kobe, JapanDepartment of Respiratory Medicine, Kobe City Medical Center General Hospital, Kobe, JapanDepartment of Respiratory Medicine, Kobe City Medical Center General Hospital, Kobe, JapanDepartment of Respiratory Medicine, Kobe City Medical Center General Hospital, Kobe, JapanDepartment of Emergency Medicine, Kobe City Medical Center General Hospital, Kobe, JapanDepartment of General Thoracic Surgery, Kobe City Medical Center General Hospital, Kobe, JapanA 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.http://dx.doi.org/10.1155/2010/259195 |
| spellingShingle | Teruya Komatsu Sumiya Shibata Ryutaro Seo Keisuke Tomii Kyousuke Ishihara Takurou Hayashi Yutaka Takahashi Unilateral Re-Expansion Pulmonary Edema following Treatment of Pneumothorax with Exceptionally Massive Sputum Production, followed by Circulatory Collapse Canadian Respiratory Journal |
| title | Unilateral Re-Expansion Pulmonary Edema following Treatment of Pneumothorax with Exceptionally Massive Sputum Production, followed by Circulatory Collapse |
| title_full | Unilateral Re-Expansion Pulmonary Edema following Treatment of Pneumothorax with Exceptionally Massive Sputum Production, followed by Circulatory Collapse |
| title_fullStr | Unilateral Re-Expansion Pulmonary Edema following Treatment of Pneumothorax with Exceptionally Massive Sputum Production, followed by Circulatory Collapse |
| title_full_unstemmed | Unilateral Re-Expansion Pulmonary Edema following Treatment of Pneumothorax with Exceptionally Massive Sputum Production, followed by Circulatory Collapse |
| title_short | Unilateral Re-Expansion Pulmonary Edema following Treatment of Pneumothorax with Exceptionally Massive Sputum Production, followed by Circulatory Collapse |
| title_sort | unilateral re expansion pulmonary edema following treatment of pneumothorax with exceptionally massive sputum production followed by circulatory collapse |
| url | http://dx.doi.org/10.1155/2010/259195 |
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