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open access

Vol 79, No 2 (2011)
CASE REPORTS
Published online: 2011-02-24
Submitted: 2013-02-22
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Reexpansion pulmonary edema and pleural bleeding after suction drainage of pneumothorax

Dariusz Gawryluk, Mariusz Chabowski, Karina Oniszh, Elżbieta Wiatr, Tadeusz M. Orłowski
Pneumonol Alergol Pol 2011;79(2):127-131.

open access

Vol 79, No 2 (2011)
CASE REPORTS
Published online: 2011-02-24
Submitted: 2013-02-22

Abstract

We present a case of 26 years old man with large spontaneous pneumothorax of about 5 days duration. Application of suction drainage was complicated by unilateral reexpansion pulmonary edema (REPE) and hemothorax developed during first 24 hours of treatment. On thoracotomy multifocal superficial pleural bleeding was seen which was probably attributed to the pathomechanisms similar to suggested in reexpansion pulmonary edema. The patient received supplemental oxygen therapy and completely recovered during next few days. The patient presented typical risk factors of REPE including: young age, large and prolonged pneumothorax. In such cases chest tube should be initially left off suction to prevent REPE.
Pneumonol. Alergol. Pol. 2011; 79, 2: 127-131

Abstract

We present a case of 26 years old man with large spontaneous pneumothorax of about 5 days duration. Application of suction drainage was complicated by unilateral reexpansion pulmonary edema (REPE) and hemothorax developed during first 24 hours of treatment. On thoracotomy multifocal superficial pleural bleeding was seen which was probably attributed to the pathomechanisms similar to suggested in reexpansion pulmonary edema. The patient received supplemental oxygen therapy and completely recovered during next few days. The patient presented typical risk factors of REPE including: young age, large and prolonged pneumothorax. In such cases chest tube should be initially left off suction to prevent REPE.
Pneumonol. Alergol. Pol. 2011; 79, 2: 127-131

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Keywords

pulmonary edema; hemothorax; reexpansion; pneumothorax

About this article
Title

Reexpansion pulmonary edema and pleural bleeding after suction drainage of pneumothorax

Journal

Advances in Respiratory Medicine

Issue

Vol 79, No 2 (2011)

Pages

127-131

Published online

2011-02-24

Bibliographic record

Pneumonol Alergol Pol 2011;79(2):127-131.

Keywords

pulmonary edema
hemothorax
reexpansion
pneumothorax

Authors

Dariusz Gawryluk
Mariusz Chabowski
Karina Oniszh
Elżbieta Wiatr
Tadeusz M. Orłowski

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