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Reexpansion pulmonary edema after chest drainage for pneumothorax: A case report and literature overview

BACKGROUND: Reexpansion pulmonary edema (RPE) is a rare complication that may occur after treatment of lung collapse caused by pneumothorax, atelectasis or pleural effusion and can be fatal in 20% of cases. The pathogenesis of RPE is probably related to histological changes of the lung parenchyma an...

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Autores principales: Verhagen, M., van Buijtenen, J.M., Geeraedts, L.M.G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4356048/
https://www.ncbi.nlm.nih.gov/pubmed/26029567
http://dx.doi.org/10.1016/j.rmcr.2014.10.002
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author Verhagen, M.
van Buijtenen, J.M.
Geeraedts, L.M.G.
author_facet Verhagen, M.
van Buijtenen, J.M.
Geeraedts, L.M.G.
author_sort Verhagen, M.
collection PubMed
description BACKGROUND: Reexpansion pulmonary edema (RPE) is a rare complication that may occur after treatment of lung collapse caused by pneumothorax, atelectasis or pleural effusion and can be fatal in 20% of cases. The pathogenesis of RPE is probably related to histological changes of the lung parenchyma and reperfusion-damage by free radicals leading to an increased vascular permeability. RPE is often self-limiting and treatment is supportive. CASE REPORT: A 76-year-old patient was treated by intercostal drainage for a traumatic pneumothorax. Shortly afterwards he developed reexpansion pulmonary edema and was transferred to the intensive care unit for ventilatory support. Gradually, the edema and dyspnea diminished and the patient could be discharged in good clinical condition. CONCLUSION: RPE is characterized by rapidly progressive respiratory failure and tachycardia after intercostal chest drainage. Early recognition of signs and symptoms of RPE is important to initiate early management and allow for a favorable outcome.
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spelling pubmed-43560482015-03-31 Reexpansion pulmonary edema after chest drainage for pneumothorax: A case report and literature overview Verhagen, M. van Buijtenen, J.M. Geeraedts, L.M.G. Respir Med Case Rep Case Report BACKGROUND: Reexpansion pulmonary edema (RPE) is a rare complication that may occur after treatment of lung collapse caused by pneumothorax, atelectasis or pleural effusion and can be fatal in 20% of cases. The pathogenesis of RPE is probably related to histological changes of the lung parenchyma and reperfusion-damage by free radicals leading to an increased vascular permeability. RPE is often self-limiting and treatment is supportive. CASE REPORT: A 76-year-old patient was treated by intercostal drainage for a traumatic pneumothorax. Shortly afterwards he developed reexpansion pulmonary edema and was transferred to the intensive care unit for ventilatory support. Gradually, the edema and dyspnea diminished and the patient could be discharged in good clinical condition. CONCLUSION: RPE is characterized by rapidly progressive respiratory failure and tachycardia after intercostal chest drainage. Early recognition of signs and symptoms of RPE is important to initiate early management and allow for a favorable outcome. Elsevier 2014-11-26 /pmc/articles/PMC4356048/ /pubmed/26029567 http://dx.doi.org/10.1016/j.rmcr.2014.10.002 Text en © 2014 The Authors http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/3.0/).
spellingShingle Case Report
Verhagen, M.
van Buijtenen, J.M.
Geeraedts, L.M.G.
Reexpansion pulmonary edema after chest drainage for pneumothorax: A case report and literature overview
title Reexpansion pulmonary edema after chest drainage for pneumothorax: A case report and literature overview
title_full Reexpansion pulmonary edema after chest drainage for pneumothorax: A case report and literature overview
title_fullStr Reexpansion pulmonary edema after chest drainage for pneumothorax: A case report and literature overview
title_full_unstemmed Reexpansion pulmonary edema after chest drainage for pneumothorax: A case report and literature overview
title_short Reexpansion pulmonary edema after chest drainage for pneumothorax: A case report and literature overview
title_sort reexpansion pulmonary edema after chest drainage for pneumothorax: a case report and literature overview
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4356048/
https://www.ncbi.nlm.nih.gov/pubmed/26029567
http://dx.doi.org/10.1016/j.rmcr.2014.10.002
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