Reexpansion Pulmonary Edema after Treatment of Pneumothorax
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《新英格兰医药杂志》
A 50-year-old smoker presented with acute-onset breathlessness and right-sided chest pain of four days' duration. There was no history of chest trauma. A posteroanterior chest radiograph (Panel A) demonstrated a right-sided pneumothorax. His symptoms improved immediately on placement of a chest tube. Two hours later, he again became breathless, and examination revealed extensive right-sided chest crackles. Chest radiography was repeated and showed a fully expanded right lung (Panel B), albeit with features of pulmonary edema. The arrowheads in Panel B show the position of the chest tube. The patient's condition improved after continuous positive airway pressure was delivered through a face mask overnight. The chest tube was removed after three days. At follow-up six weeks later, the patient was asymptomatic and well. The results of further investigations were consistent with the presence of mild chronic obstructive pulmonary disease.
Syed Mohammad Tariq, F.R.C.P.
Tabinda Sadaf, M.B., B.S.
Sultan Qaboos University Hospital
Muscat, Oman
Syed Mohammad Tariq, F.R.C.P.
Tabinda Sadaf, M.B., B.S.
Sultan Qaboos University Hospital
Muscat, Oman