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Post-Pneumonectomy ARDS and Ogilvie Syndrome - A Case Report
Radu T Stoica1,2, Ioan Cordoş1,3, Anca Macri1
1"Marius Nasta" Pneumophtisiology Institute, Bucharest, Romania.
This case report details a patient who developed Acute Respiratory Distress Syndrome (ARDS) after a left pneumonectomy. Successful management of ARDS and associated Ogilvie syndrome led to a favorable outcome.
Area of Science:
- Cardiology
- Pulmonology
- Gastroenterology
Background:
- Acute Respiratory Distress Syndrome (ARDS) is a severe lung injury complicating lung resections with high mortality.
- Pneumonectomy, a major thoracic surgery, carries risks including ARDS.
- Co-occurring gastrointestinal complications like Ogilvie syndrome can further challenge patient management.
Purpose of the Study:
- To report a case of ARDS following left pneumonectomy.
- To highlight the successful management of a patient with concurrent ARDS and Ogilvie syndrome.
- To discuss the favorable outcome despite severe complications.
Main Methods:
- A 60-year-old male underwent left pneumonectomy for stage IIIA lung cancer.
- Postoperatively, the patient developed ARDS requiring ventilatory support.
- Laparotomy and temporary cecostomy were performed for Ogilvie syndrome, followed by supportive care.
Main Results:
- The patient successfully weaned from mechanical ventilation 8 days after ARDS onset.
- Respiratory and vital parameters improved significantly post-intervention.
- The patient was transferred to the surgery ward 14 days after pneumonectomy, indicating recovery.
Conclusions:
- This case demonstrates that favorable outcomes are achievable in complex ARDS cases post-pneumonectomy.
- Prompt diagnosis and multidisciplinary management of co-existing conditions like Ogilvie syndrome are crucial.
- Aggressive supportive care and surgical decompression can lead to recovery from severe ARDS and multi-organ dysfunction.
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