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http://dx.doi.org/10.4046/trd.2009.67.1.59

A Case of Focal Reexpansion Pulmonary Edema after Chest Tube Insertion  

Chung, Hye Kyoung (Department of Internal Medicine, School of Medicine, Soonchunhyang University)
Jang, Won Ho (Department of Chest Surgery, School of Medicine, Soonchunhyang University)
Kim, Yang Ki (Department of Internal Medicine, School of Medicine, Soonchunhyang University)
Lee, Young Mok (Department of Internal Medicine, School of Medicine, Soonchunhyang University)
Hwang, Jung Hwa (Department of Radiology, School of Medicine, Soonchunhyang University)
Kim, Ki-Up (Department of Internal Medicine, School of Medicine, Soonchunhyang University)
Uh, Soo-Taek (Department of Internal Medicine, School of Medicine, Soonchunhyang University)
Publication Information
Tuberculosis and Respiratory Diseases / v.67, no.1, 2009 , pp. 59-62 More about this Journal
Abstract
Reexpansion pulmonary edema is not a common phenomenon after chest tube insertion but some reports from 0% to 14%. There are various resulting complications, including acute respiratory distress syndrome. We report a case of focal reexpansion pulmonary edema after chest tube insertion. A 49-year-old male came to the hospital due to ongoing dyspnea and left chest pain for 3 days. On chest X-ray, the patient had a left pneumothrax. We planned to insert a chest tube for symptom relief. To determine whether or not the chest had expanded as a result of the chest tube insertion, the patient underwent repeated chest X-rays the following day. The patient experienced brief respiratory symptoms upon initial suction; a chest PA showed patchy consolidated infiltration at the inserted site. After 5 days of conservative management, the recovered completely.
Keywords
Reexpansion pulmonary edema; Pneumothorax; Chest tube insertion;
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