Abstract
Re-expansion Pulmonary Edema (REPE) is rare complication that occurs mainly after tube thoracostomy in pneumothorax and thoracocentesis in large pleural effusion is attributed to rapid pressure changes in the pleural cavity and free radical injury to the pulmonary vasculature. Usually REPE seen in cases of extensive pneumothorax and large pleural effusion with lung atelectasis of long duration. Authors repot a case of re-expansion pulmonary edema following chest tube insertion in a case of iatrogenic pneumothorax.
Keywords: Pneumothorax, thoracocetasis, reexpansion pulmonary edema (REPE)
References
- Murat A, Arslan A, Balci AE. Re-expansion pulmonary edema. Acta Radiol 2004;45:431-3.
- Dias OM, Teixeira LR, Vargas FS. Reexpansion pulmonary edema after therapeutic thoracentesis. Clinics (Sao Paulo) 2010;65:1387-9.
- Miller WC, Toon R, Palat H. Experimental pulmonary edema following re-expansion of pneumothorax. Am Rev Respir Dis 1973;8:664-6.
- Kasmani R, Irani F, Okoli K, Mahajan V. Reexpansion pulmonary edema following thoracentesis. CMAJ 2010;182.
- Sherman SC. Reexpansion pulmonary edema: a case reort and a review of the current literature. J Emerg Med 2003;24:23-7.
- Chowdhary M, Peng EWR, Sarkar PK. The risk of fatal reexpansion pulmonary oedema in poor left ventricular reserve. Interact Cardiovasc Thorac Surg 2009;9:350-51.
- Volpicelli G, Fogliati C, Radeschi G, Frascisco M. A case of unilateral re-expansion pulmonary oedema successfully treated with non invasive continuous positive, airway pressure. Eur J Emerg Med 2004;11:291-4.
- Beng ST, Mahadevan M. An uncommon life threatenign complication after chest tube drainage of penumothorax in the ED. Am J Emerg Med 2004;22:615-9.
Corresponding Author
Dr Devender Yadav
Post Graduate Resident, Department of Medicine, Pt. BDS PGIMS Rohtak India 124001