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Radiographically Severe but Clinically Mild Reexpansion Pulmonary Edema following Decompression of a Spontaneous Pneumothorax
Joint Authors
Harner, William E.
Crawley, Eric A.
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-08-03
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
The case is a 48-year-old female who presented with mild dyspnea on exertion and cough with unremarkable vital signs and was found to have a large right sided pneumothorax.
She underwent small bore chest tube decompression with immediate reexpansion of the collapsed lung.
However, she rapidly developed moderate hypoxemia and radiographic evidence of reexpansion pulmonary edema (REPE) on both the treated and contralateral sides.
Within a week, she had a normal chest X-ray and was asymptomatic.
This case describes a rare complication of spontaneous pneumothorax and highlights the lack of correlation between symptoms, sequelae, and radiographic severity of pneumothorax and reexpansion pulmonary edema.
Proposed pathophysiologic mechanisms include increased production of reactive oxygen species with subsequent loss of surfactant and increased vascular permeability, and loss of vasoregulatory tone.
American Psychological Association (APA)
Harner, William E.& Crawley, Eric A.. 2014. Radiographically Severe but Clinically Mild Reexpansion Pulmonary Edema following Decompression of a Spontaneous Pneumothorax. Case Reports in Pulmonology،Vol. 2014, no. 2014, pp.1-3.
https://search.emarefa.net/detail/BIM-492363
Modern Language Association (MLA)
Harner, William E.& Crawley, Eric A.. Radiographically Severe but Clinically Mild Reexpansion Pulmonary Edema following Decompression of a Spontaneous Pneumothorax. Case Reports in Pulmonology No. 2014 (2014), pp.1-3.
https://search.emarefa.net/detail/BIM-492363
American Medical Association (AMA)
Harner, William E.& Crawley, Eric A.. Radiographically Severe but Clinically Mild Reexpansion Pulmonary Edema following Decompression of a Spontaneous Pneumothorax. Case Reports in Pulmonology. 2014. Vol. 2014, no. 2014, pp.1-3.
https://search.emarefa.net/detail/BIM-492363
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-492363