title: [Re-expansion pulmonary edema after excision of an intrathoracic tumor].
abstract: We report an acute respiratory insufficiency following the removal of a large intrathoracic fibroma (3.1 kg) in a 6 year-old child, caused by a re-expansion pulmonary oedema (unilateral oedema occurring within one hour after expansion). This oedema improved rapidly and was followed by a well-tolerated pleural effusion. This complication is due to discrepancy between a small lung and a large thoracic cavity, due to the prolonged time course of the tumor growth. These oedemas are caused by rapid lung re-expansion, the volume of the removed tumor and the depth of postoperative pleural suction. The value of positive-end expiratory pressure is discussed.
authors.affiliation: Service de réanimation, hôpital principal de Dakar, Sénégal.
authors.forename: G
authors.initials: G
authors.lastname: Angel
authors.forename: J M
authors.initials: JM
authors.lastname: Andreu
authors.forename: V
authors.initials: V
authors.lastname: Aulagnier
authors.forename: B
authors.initials: B
authors.lastname: Diatta
authors.forename: M
authors.initials: M
authors.lastname: Seck
authors.forename: P
authors.initials: P
authors.lastname: Seignot
mesh_terms: D001917:Brachial Plexus / Q000293:injuries; D002648:Child; D005350:Fibroma / Q000601:surgery*; D006801:Humans; D008168:Lung / Q000503:physiopathology*; D008297:Male; D010996:Pleural Effusion / Q000209:etiology; D011183:Postoperative Complications / Q000209:etiology*; D011312:Pressure; D011654:Pulmonary Edema / Q000209:etiology*; D013396:Suction; D013899:Thoracic Neoplasms / Q000601:surgery*