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Updated: Aug 19, 2025

Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion
Published on: November 10, 2023
[A pleural puncture gone wrong]
Alizée Bavoux1, Victoria Ando1, Marie Méan1
1Service de médecine interne, Centre hospitalier universitaire vaudois, 1011 Lausanne.
Abstract:
A patient with a paraneoplastic effusion presented with respiratory distress one hour after a 2 500 ml pleural aspiration performed at noon. A chest X-ray shows signs of unilateral pulmonary oedema. Re-expansion pulmonary oedema is a rare complication. Oxygen therapy is usually sufficient. It is advisable not to perform this procedure outside normal hours and to withdraw a maximum of 1 500 ml at a time.
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