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Acute unilateral lung injury secondary to lung reexpansion. Case report

Author

Listed:
  • Jorge Soneira Pérez
  • Yanin Diaz Lara
  • Jhossmar Cristians Auza-Santivañez
  • José Yair Santos Moreira
  • Santiago Nelson Pérez O’Farrill
  • Giovanni Callizaya Macedo

Abstract

Introduction: Lung reexpansion is a rare complication, generally less than 1%, that can occur after rapid drainage of a pneumothorax or pleural effusion. Its mortality can reach 20%. Clinical case: A 22-year-old female patient reported experiencing dizziness, weakness, vomiting containing food, presence of blood clots and bloody-looking stools, which is why she was taken to the hospital to the emergency department, and underwent surgery for upper digestive bleeding. In its evolution, it presents a picture of acute unilateral lung injury secondary to lung reexpansion when draining a pleural effusion. Medical and ventilatory treatment is imposed and the patient evolves favorably. Lung injury due to lung re-expansion is a rare entity; clinical suspicion is essential to act diligently and thus avoid complications. Good ventilatory management of Respiratory Distress Syndrome is essential, emphasizing protective mechanical ventilation and the appropriate use of PEEP

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Handle: RePEc:dbk:procee:v:2:y:2024:i::p:1056294piii2024344:id:1056294piii2024344
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