Reexpansion pulmonary edema: A rare complication of pneumothorax drainage
Shivani Sarda(0000‐0002‐5526‐3778), Ankur Verma(0000‐0001‐9524‐9164), Sanjay Jaiswal(0000‐0001‐5333‐8230), Wasil Rasool Sheikh(0000‐0001‐8479‐ 7632)
Department of Emergency Medicine, Max Super Speciality Hospital, New Delhi, India
Keywords: Chest tube, pneumothorax, reexpansion pulmonary edema
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.
The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient has given his consent for his images and other clinical information to be reported in the journal. The patient understands that name and initials will not be published and due efforts will be made to conceal identity, but anonymity cannot be guaranteed.
Sarda S is the principal author. All other coauthors have contributed toward the critical feedback, literature review, and proof reading for the manuscript.