[Re-expansion pulmonary edema after excision of an intrathoracic tumor].
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.
Angel
G
G
Service de réanimation, hôpital principal de Dakar, Sénégal.
Andreu
J M
JM
Aulagnier
V
V
Diatta
B
B
Seck
M
M
Seignot
P
P
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*