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Unmasking Negative Pressure Pulmonary Edema Following Hanging: A Case Series
K K Athish1, Guruprasad T J2, Spurthy Padmanabha3
1Internal Medicine, Sri Devaraj Urs Academy of Higher Education and Research, Kolar, IND.
Cureus
|July 4, 2024
Summary
Negative pressure pulmonary edema is a rare but serious complication following partial hanging. Early recognition and management are crucial for patient outcomes, as this condition can be fatal.
Area of Science:
- Medical Case Series
- Pulmonary Medicine
- Toxicology
Background:
- Partial hanging is an uncommon cause of death, with potential complications like negative pressure pulmonary edema often overlooked.
- Physicians must consider pulmonary edema as a critical complication in patients presenting after attempted hanging.
Observation:
- A case series of three patients admitted after attempted suicide by hanging revealed pulmonary edema on chest radiography and bronchoscopy.
- All patients received intensive care, with two showing clinical improvement and one succumbing to cardiac arrest.
Findings:
- Diffuse bilateral infiltrates consistent with pulmonary edema were observed in all three cases.
- Negative pressure pulmonary edema is frequently underdiagnosed in hanging-related fatalities.
Implications:
- This case series highlights the importance of recognizing and managing negative pressure pulmonary edema in hanging victims.
- Understanding the etiologies of negative pressure pulmonary edema can improve clinical outcomes and reduce mortality in hanging-related incidents.
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