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Published on: March 3, 2023
Severe localized re-expansion pulmonary oedema: An unusual instance
K Gowrinath1, S Praveen Kumar Reddy2, P Jyothi2
1Department of Pulmonary Medicine, Apollo Speciality Hospital, Nellore 524004, Andhra Pradesh, India.
Abstract:
A lobar re-expansion pulmonary oedema (REPO) after pleural drainage procedure is rare and usually asymptomatic. We report a 56-year-old man with severe left lower lobar REPO after tube thoracostomy drainage of a loculated hydro-pneumothorax of 2 days' duration with underlying chronic obstructive pulmonary disease. The clinical manifestations were immediate and disproportionate to the radiological extent of REPO. The severity of lobar REPO was probably related to the pre-existing emphysematous changes and airway obstruction. Supplemental oxygen and intermittent pleural drainage led to clinical recovery within 24 hours, followed by radiological clearance of alveolar opacities within 3 days.
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