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Case Report: Bilateral reexpansion pulmonary edema following treatment of a unilateral hemothorax

Bilateral re-expansion pulmonary edema (RPE) is an extremely rare entity. We report the unique case of bilateral RPE following a traumatic, unilateral hemopneumothorax in a young healthy male. Bilateral RPE occurred only one hour after drainage of a unilateral hemopneumothorax. The patient was treat...

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Detalles Bibliográficos
Autores principales: de Wolf, Steven P, Deunk, Jaap, Cornet, Alexander D, Elbers, Paul WG
Formato: Online Artículo Texto
Lenguaje:English
Publicado: F1000Research 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4335596/
https://www.ncbi.nlm.nih.gov/pubmed/25713699
http://dx.doi.org/10.12688/f1000research.6000.1
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author de Wolf, Steven P
Deunk, Jaap
Cornet, Alexander D
Elbers, Paul WG
author_facet de Wolf, Steven P
Deunk, Jaap
Cornet, Alexander D
Elbers, Paul WG
author_sort de Wolf, Steven P
collection PubMed
description Bilateral re-expansion pulmonary edema (RPE) is an extremely rare entity. We report the unique case of bilateral RPE following a traumatic, unilateral hemopneumothorax in a young healthy male. Bilateral RPE occurred only one hour after drainage of a unilateral hemopneumothorax. The patient was treated with diuretics and supplemental oxygen. Diagnosis was confirmed by excluding other causes, using laboratory findings, chest radiography, pulmonary and cardiac ultrasound and high resolution computed tomography. His recovery was uneventful. The pathophysiology of bilateral RPE is not well known. Treatment is mainly supportive and consists of diuretics, mechanical ventilation, inotropes and steroids. In case of a pulmonary deterioration after the drainage of a traumatic pneumothorax, bilateral RPE should be considered after exclusion of more common causes of dyspnea.
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spelling pubmed-43355962015-02-23 Case Report: Bilateral reexpansion pulmonary edema following treatment of a unilateral hemothorax de Wolf, Steven P Deunk, Jaap Cornet, Alexander D Elbers, Paul WG F1000Res Case Report Bilateral re-expansion pulmonary edema (RPE) is an extremely rare entity. We report the unique case of bilateral RPE following a traumatic, unilateral hemopneumothorax in a young healthy male. Bilateral RPE occurred only one hour after drainage of a unilateral hemopneumothorax. The patient was treated with diuretics and supplemental oxygen. Diagnosis was confirmed by excluding other causes, using laboratory findings, chest radiography, pulmonary and cardiac ultrasound and high resolution computed tomography. His recovery was uneventful. The pathophysiology of bilateral RPE is not well known. Treatment is mainly supportive and consists of diuretics, mechanical ventilation, inotropes and steroids. In case of a pulmonary deterioration after the drainage of a traumatic pneumothorax, bilateral RPE should be considered after exclusion of more common causes of dyspnea. F1000Research 2014-12-30 /pmc/articles/PMC4335596/ /pubmed/25713699 http://dx.doi.org/10.12688/f1000research.6000.1 Text en Copyright: © 2014 de Wolf SP et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/publicdomain/zero/1.0/ Data associated with the article are available under the terms of the Creative Commons Zero "No rights reserved" data waiver (CC0 1.0 Public domain dedication).
spellingShingle Case Report
de Wolf, Steven P
Deunk, Jaap
Cornet, Alexander D
Elbers, Paul WG
Case Report: Bilateral reexpansion pulmonary edema following treatment of a unilateral hemothorax
title Case Report: Bilateral reexpansion pulmonary edema following treatment of a unilateral hemothorax
title_full Case Report: Bilateral reexpansion pulmonary edema following treatment of a unilateral hemothorax
title_fullStr Case Report: Bilateral reexpansion pulmonary edema following treatment of a unilateral hemothorax
title_full_unstemmed Case Report: Bilateral reexpansion pulmonary edema following treatment of a unilateral hemothorax
title_short Case Report: Bilateral reexpansion pulmonary edema following treatment of a unilateral hemothorax
title_sort case report: bilateral reexpansion pulmonary edema following treatment of a unilateral hemothorax
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4335596/
https://www.ncbi.nlm.nih.gov/pubmed/25713699
http://dx.doi.org/10.12688/f1000research.6000.1
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