A case of reexpansion pulmonary edema occurring after treatment idiopathic spontaneous haemothorax

Year 2013, , 201 - 204, 01.12.2013

Nuri Düzgün

https://doi.org/10.5505/sakaryamj.2013.76476

Abstract

Spontaneous hemothorax is collection of blood to pleural space due to non-traumatic reasons. In the cases who reason of hemothorax not found are rare and named idiopathic spontaneous hemothorax. 23-years-old male patient with massive left hemothorax, a chest tube inserted. After drainage, left lower lobe was atelectatic. Hematoma was drained surgically and decortication performed. Reexpansion pulmonary edema developed postoperatively. In this article, a rare case of idiopathic spontaneous hemothorax management and treatment steps and clinical process of reexpansion pulmonary edema after the operation; were presented.

Keywords

Idiopathic spontaneous hemothorax, reexpansion pulmonary edema

İdyopatik spontan hemotoraks tedavisi sonrası ortaya çıkan pulmoner reekspansiyon ödemi olgusu

Abstract

Spontan hemotoraks, plevral aralıkta travma dışı nedenlerle kan toplanmasıdır. Hemotoraksa yol açan herhangi bir nedenin bulunamadığı olgular ise nadir görülür ve idyopatik spontan hemotoraks olarak adlandırılır. 23 yaşında solda masif hemotoraksı olan erkek hastaya göğüs tüpü takıldı. Drenaj sonrası sol alt lobu atelektatik olan hastanın operasyonla hematomu boşaltıldı ve dekortikasyon uygulandı. Hastada postop dönemde pulmoner reexpansiyon ödemi gelişti. Bu yazıda nadir görülen idyopatik spontan hemotorakslı bir olgunun takip ve tedavi basamakları ile operasyon sonrasında ortaya çıkan pulmoner reekspansiyon ödemi tablosunun klinik süreci sunuldu.

Keywords

İdyopatik spontan hemotoraks, pulmoner reekspansiyon ödemi

References

• Garcia Barajas S, Diaz-Hellin Gude V, Maron Fernandez MC. Hemotorax espontaneo idiopatico. Arch Bronconeumol. 2000;36(1):59-60.
• Battistella FD, Benfield JR. Blunt and penetrating injuries of the chest wall, pleura and lungs.IN: Shields TW, Locicero J 3rd, Ponn RB, editors. General thoracic surgery . 5th ed. Philadelphia:Lippincott Williams &Wilkins 2000;.p. 815-31
• Şentürk E, Yoldaş E, Doğan Y. Hemotoraks tedavisi: 192 olgunun değerlendirilmesi. Türk Göğüs Kalp Damar Cerrahisi Dergisi 2009;17(2):92-6.
• Hsu NY, Shih CS, Hsu CP, Chen PR. Spontaneous hemopneumothorax revisited: clinical approach and systemic review of the literature. Ann Thorac Surg. 2005;80(5):1859-63.
• Hsu CC, Wu YL, Lin HJ, LIN MP, Guo HR. Indicators of haemothorax in patients with spontaneous pneumothorax. Emerg Med J. 2005;22(6):415-7.
• Dias OM, Teixeira LR, Vargas FS. Reexpansion pulmonary edema after therapeutic. Thoracentesis. Clinics (Sao Paulo) 2010;65:1387-9.
• Yucel O, Ucar E, Tozkoparan E, Gunal A, Akay C, Sahin MA, et al. Proanthocyanidin to prevent formation of the reexpansion pulmonary edema. J Cardiothorac Surg 2009;4:40.
• Stawicki S.P, Sarani B, Braslow BM. Reexpansion pulmonary edema. OPUS 12 Scientist 2008;2:29-31.
• Matsuura Y, Nomimura T, Murakami H, Matsushima T, Kakehashi M, Kajihara H. Clinical analysis of reexpansion pulmonary edema. Chest 1991;100:1562-6.
• Sohara Y. Reexpansion pulmonary edema. Ann Thorac Cardiovasc Surg 2008;14:205-9.
• Kim YK, Kim H, Lee CC, Choi HJ, Lee KH, Hwang SO, et al. New classification and clinical characteristics of reexpansion pulmonary edema after treatment of spontaneous pneumothorax. Am J Emerg Med 2009;27:961-7.
• Yücel O, Erdoğu V, Kavaklı K, Genç O, Turhan K. Reekspansiyon pulmoner ödemi: Olgu sunumu. Turkish J Thorac Cardiovasc Surg 2009;17:218-20.