| CASE REPORT |
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| Year : 2020 | Volume
: 20
| Issue : 4 | Page : 196-198 |
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Reexpansion pulmonary edema: A rare complication of pneumothorax drainage
Shivani Sarda, Ankur Verma, Sanjay Jaiswal, Wasil Rasool Sheikh
Department of Emergency Medicine, Max Super Speciality Hospital, New Delhi, India
Correspondence Address:
Dr. Ankur Verma
Flat 801, 8th Floor, Tower 8, Unitech Harmony, Nirvana Country, Sector 50, Gurgaon, Haryana
India
 Source of Support: None, Conflict of Interest: None  | 2 |
DOI: 10.4103/2452-2473.297469
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Among all the noncardiac causes of pulmonary edema, unilateral reexpansion pulmonary edema is one of the rarest complication of expansion of a collapsed lung. It is largely unknown and a potentially fatal complication. We present the case of a 51-year-old gentleman who presented to our emergency department with shortness of breath. X-ray revealed significant right-sided pneumothorax with associated collapse of the right lung. An intercostal tube was inserted into the right 5th intercostal space and a repeat X-ray revealed well-expanded lung field. Soon, the patient developed increased shortness of breath and hypoxia. Repeat X-ray was suggestive of pulmonary edema. He was started on noninvasive positive pressure ventilation and responded well to it. Emergency physicians should have a high index of suspicion and initiate early management of reexpansion pulmonary edema in patients suffering from pneumothoraces which have undergone drainage.
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