Unilateral pulmonary oedema due to lung re-expansion following pleurocentesis for spontaneous pneumothorax. The role of non-invasive continuous positive airway pressure ventilation.
Re-expansion pulmonary oedema represents a rare complication of treatment of spontaneous pneumothorax with only a few cases documented in the current literature. We present the case of a 47-year-old male who presented a right-sided spontaneous pneumothorax and developed respiratory failure after chest tube drainage. The diagnosis of re-expansion pulmonary oedema was made and he was successfully treated with non-invasive continuous positive airway pressure ventilation. Since pathogenesis of re-expansion unilateral pulmonary oedema differs significantly from that of cardiogenic pulmonary oedema, the role of non-invasive continuous positive airway pressure ventilation is discussed as an additional therapeutic option.
Dimitrios K
DK
Papakonstantinou
Zisis I
ZI
Gatzioufas
Georgios I
GI
Tzegas
Panagiotis I
PI
Stergiopoulos
Christos G
CG
Tsokantaridis
Georgios K
GK
Chalikias
Dimitrios N
DN
Tziakas
D015505:Chest Tubes / Q000009:adverse effects; D045422:Continuous Positive Airway Pressure; D006801:Humans; D008297:Male; D008875:Middle Aged; D011030:Pneumothorax / Q000150:complications* / Q000628:therapy; D011654:Pulmonary Edema / Q000209:etiology* / Q000628:therapy*