Pulmonary expansion edema during the management of a spontaneous pneumothorax. Report of one case

Pulmonary expansion edema is a rare complication of the management of primary spontaneous pneumothorax. We report a 20 year old male admitted with a right primary spontaneous pneumothorax. A chest tube connected to a water seal was placed, achieving lung expansion. Immediately, the patient presented...

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Published inRevista medíca de Chile Vol. 146; no. 11; pp. 1343 - 1346
Main Authors Barril Merino, Carlos, Solovera R, María E, Bannura Y, Felipe, Salas V, Patricio
Format Journal Article
LanguageSpanish
Published Chile 01.11.2018
Subjects
Chest Tubes - adverse effects
Drainage - adverse effects
Humans
Male
Pneumothorax - complications
Pneumothorax - therapy
Pulmonary Edema - diagnostic imaging
Pulmonary Edema - etiology
Pulmonary Edema - therapy
Radiography, Thoracic
Risk Factors
Treatment Outcome
Young Adult
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Summary:Pulmonary expansion edema is a rare complication of the management of primary spontaneous pneumothorax. We report a 20 year old male admitted with a right primary spontaneous pneumothorax. A chest tube connected to a water seal was placed, achieving lung expansion. Immediately, the patient presented hypotension and a reduction in arterial oxygen saturation to 78%. Non-invasive ventilation was started. A chest X ray showed extensive right lung edema. The patient was managed with noradrenaline and albumin infusion with good response. Pulmonary edema resolved on day 3 but air leak was persistant so, the patient required surgery to excise apical bullae in the right lung. He was discharged during the following days in good condition.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
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ISSN:0717-6163
DOI:10.4067/S0034-98872018001101343