Negative pressure post-extubation pulmonary edema complicating appendectomy in a young patient: case report.
Negative-pressure pulmonary edema after endotracheal intubation is an uncommon and potentially serious complication of patients undergoing general anesthesia for different surgical procedures. We report a case of a healthy 20-year-old male patient with the diagnosis of acute appendicitis. The patient was submitted to appendectomy under general anesthesia and developed negative-pressure pulmonary edema immediately after extubation. The present paper reports this potentially serious complication illustrating the main radiological findings consistent with alveolar hemorrhage in this setting and the treatment performed.
Colorectal Surgery Division, Department of Gastroenterology, School of Medicine, University of São Paulo, São Paulo, Brazil. rcindy@uol.com.br
Rodrigo O
RO
Perez
Cláudio
C
Bresciani
Carlos E
CE
Jacob
Cindy G
CG
Perez
Roger B
RB
Coser
Luiz F K
LF
Honda
Joaquim J
JJ
Gama-Rodrigues
D000328:Adult; D001062:Appendectomy; D006801:Humans; D007442:Intubation, Intratracheal; D008297:Male; D011183:Postoperative Complications; D011654:Pulmonary Edema / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D011859:Radiography; D012122:Ventilators, Mechanical