title: [Reexpansion pulmonary edema and pleural bleeding after suction drainage of pneumothorax].
abstract: We present a case of 26 years old man with large spontaneous pneumothorax of about 5 days duration. Application of suction drainage was complicated by unilateral reexpansion pulmonary edema (REPE) and hemothorax developed during first 24 hours of treatment. On thoracotomy multifocal superficial pleural bleeding was seen which was probably attributed to the pathomechanisms similar to suggested in reexpansion pulmonary edema. The patient received supplemental oxygen therapy and completely recovered during next few days. The patient presented typical risk factors of REPE including: young age, large and prolonged pneumothorax. In such cases chest tube should be initially left off suction to prevent REPE.
authors.affiliation: III Klinika Chorób Płuc, Instytut Gruźlicy i Chorób Płuc, ul. Płocka 26, 01–138 Warszawa. d.gawryluk@igichp.edu.pl
authors.forename: Dariusz
authors.initials: D
authors.lastname: Gawryluk
authors.forename: Mariusz
authors.initials: M
authors.lastname: Chabowski
authors.forename: Karina
authors.initials: K
authors.lastname: Oniszh
authors.forename: Elżbieta
authors.initials: E
authors.lastname: Wiatr
authors.forename: Tadeusz M
authors.initials: TM
authors.lastname: Orłowski
mesh_terms: D000328:Adult; D006491:Hemothorax / Q000209:etiology*; D006801:Humans; D008297:Male; D011030:Pneumothorax / Q000628:therapy; D011654:Pulmonary Edema / Q000209:etiology*; D013396:Suction / Q000009:adverse effects*; D016896:Treatment Outcome