Korean J Crit Care Med.  2005 Jun;20(1):87-91.

Re-expansion Pulmonary Edema after Chest Tubing: A Case Report

• Jeong SW
• Kim CM
• Choi CH
• Shin DJ
• Bae HB
• Chung SS
• Yoo KY
• Jeong CY

Abstract

Re-expansion pulmonary edema (RPE) is a rare complication associated with the treatment of collapsed lung caused by pneumothorax, atelectasis, pleural effusion in which a large amount of air or effusion fluid is evacuated. In general RPE is resulted from more than 3 days of lung collapse and application of high negative intrapleural pressure. However, it is reported that RPE could be developed despite the collapse period is short and negative pressure suction is not performed. It also has been known that the rate of reexpansion is more important than amount of evacuated air, or collapse period in the development of RPE. Seventeen-year-old female was undergone suture hemostasis for liver laceration, in which RPE was occurred after closed thoracostomy for pleural effusion on postoperative-27 day. We present a case report with review of related articles.

Keyword

Collapsed lung; Microvascular permeability; Pleural effusion; Re-expansion pulmonay edema

MeSH Terms

Capillary Permeability
Female
Hemostasis
Humans
Lacerations
Liver
Lung
Pleural Effusion
Pneumothorax
Pulmonary Atelectasis
Pulmonary Edema*
Suction
Sutures
Thoracostomy
Thorax*