Acute unilateral lung injury secondary to lung reexpansion. Case report
DOI:
https://doi.org/10.56294/piii2024344Keywords:
Acute unilateral lung injury, Respiratory Distress Syndrome, PEEP, Pleural effusion, lung reexpansionAbstract
Introduction: Lung reexpansion is a rare complication, generally less than 1%, that can occur after rapid drainage of a pneumothorax or pleural effusion. Its mortality can reach 20%.
Clinical case: A 22-year-old female patient reported experiencing dizziness, weakness, vomiting containing food, presence of blood clots and bloody-looking stools, which is why she was taken to the hospital to the emergency department, and underwent surgery for upper digestive bleeding. In its evolution, it presents a picture of acute unilateral lung injury secondary to lung reexpansion when draining a pleural effusion. Medical and ventilatory treatment is imposed and the patient evolves favorably.
Conclusions: Lung injury due to lung re-expansion is a rare entity; clinical suspicion is essential to act diligently and thus avoid complications. Good ventilatory management of Respiratory Distress Syndrome is essential, emphasizing protective mechanical ventilation and the appropriate use of PEEP
References
Carlson Ri, Classen Kl, Gollan F, Gobbel Wg Jr, Sherman De, Christensen Ro. Pulmonary edema following the rapid reexpansion of a totally collapsed lung due to a pneumothorax: a clinical and experimental study. Surg Forum. 1958;9:367-71. https://pubmed.ncbi.nlm.nih.gov/13635394/
Sunderland N, Maweni R, Akunuri S, Karnovitch E. Re-expansion pulmonary oedema: a novel emergency therapeutic option. BMJ Case Rep. 2016 Apr 27;2016:bcr2016215076. doi:https://doi.org/10.1136/bcr-2016-215076
Sugiyama Y, Shimizu F, Shimizu S, Urasawa M, Tanaka S, Kawamata M. Severe Re-expansion Pulmonary Edema Induced by One-Lung Ventilation. Respir Care. 2015 Aug;60(8):e134-40. doi:https://doi.org/10.4187/respcare.03759
Her C, Mandy S. Acute respiratory distress syndrome of the contralateral lung after reexpansion pulmonary edema of a collapsed lung. J Clin Anesth 2004;16:244-250. https://doi.org/10.1016/j.jclinane.2003.02.013
Vicente Orgaz M, Uriarte Valiente M, Ahijado Agudo JM, Martínez García E, Orgaz Gallego MP. Edema de reexpansión pulmonar “REPE” intraoperatorio tras toracoscopia mediante ventilación unipulmonar. Rev Elect AnestesiaR [Internet]. 16 de agosto de 2020 [citado 7 de mayo de 2024];10(12):1. Disponible en: https://revistaanestesiar.org/index.php/rear/article/view/776
Singer P, Theilla M, Fisher H. et al. Benefit of an enteral diet enriched with eicosapentaenoic acid and gamma-linoleic acid in ventilated patients with acute lung injury. Crit Care Med 2006; 34:1033-1038. https://doi.org/10.1097/01.ccm.0000206111.23629.0a
Avecillas J, Freire A, Arroliga A. Clinical epidemiology of acute lung injury and acute respiratory distress syndrome. Clin Chest Med 2006;27:549-557
Her C, Mandy S. Acute respiratory distress syndrome of the contralateral lung after reexpansion pulmonary edema of a collapsed lung. J Clin Anesth 2004;16:244-250. https://doi.org/10.1016/j.ccm.2006.06.001
Gordon A, Grant G, Kaul S. Reexpansion pulmonary edema after resolution of tension pneumothorax in the contralateral lung of a previously lung injured patient. J. Clin Anesth 2004;16:289-292. https://doi.org/10.1016/j.jclinane.2003.07.014
Dreyfuss D, Ricard J. Acute Lung Injury and bacterial infection. Clin Chest Med 2005;26:105-112. https://doi.org/10.1016/j.ccm.2004.10.014
Peñuelas O, Aramburu A, Frutos-Vivar F, Esteban A.Pathology of acute lung injury and acute respiratory distress syndrome: A clinical-pathological correlation. Clin Chest Med 2006;27:571-578. https://doi.org/10.1016/j.ccm.2006.07.003
Matthay, Michael A et al. «Una nueva definición global del síndrome de dificultad respiratoria aguda». Revista estadounidense de medicina respiratoria y de cuidados críticos, DOI: 10.1164/rccm.202303-0558WS
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Copyright (c) 2024 Jorge Soneira Pérez, Yanin Diaz Lara, Jhossmar Cristians Auza-Santivañez, José Yair Santos Moreira, Santiago Nelson Pérez O’Farrill, Giovanni Callizaya Macedo (Author)
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