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Korean J Crit Care Med > Volume 28(2); 2013 > Article
Korean Journal of Critical Care Medicine 2013;28(2): 137-140. doi: https://doi.org/10.4266/kjccm.2013.28.2.137
긴장성 기흉 후에 지연성으로 발생한 반대측의 재팽창성 폐부종
송동섭ㆍ정재윤
Delayed Onset Contralateral Reexpansion Pulmonary Edema after Tension Pneumothorax: A Case Report
Dongseop Song, Jai Yun Jung
1Department of Thoracic and Cardiovascular Surgery, Sanbon Hospital, College of Medicine, Wonkwang University, Gunpo, Korea. csman2002@hanmail.net
2Department of Anesthesiology and Pain Medicine, Sanbon Hospital, College of Medicine, Wonkwang University, Gunpo, Korea.
ABSTRACT
A 16-year-old male patient presented with left side chest pain. The initial chest radiograph showed tension pneumohtorax on the left side. Air was evacuated by closed thoracostomy. About 72 hours later, during administration of general anesthesia for thoracoscopic bullectomy, unilateral pulmonary edema affecting the contralateral lung developed without definite infiltration in the left lung. The operation was suspended and the patient was admitted to the intensive care unit. A close observation of the patient and conservative therapy were enough to manage this pulmonary edema. This is a very rare manifestation of reexpansion pulmonary edema that is unpredictable and could be fatal. The clinical course is described in this article.
Key Words: contralateral; pneumothorax; pulmonary edema
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