A Case of Bilateral Reexpansion Pulmonary Edema After Pleurocentesis.

Kim, Ki Up; Jung, Hyung Ku; Park, Hyun Jun; Cha, Geon Young; Han, Sang Hoon; Hwang, Eui Won; Lee, June Hyeuk; Kim, Do Jin; Na, Moon Jun; Uh, Soo Taek; Kim, Yong Hoon; Park, Choon Sik

doi:2001.51.2.161

Tuberc Respir Dis > Volume 51(2); 2001 > Article

Case Report

Tuberculosis and Respiratory Diseases 2001;51(2):161-165.
DOI: https://doi.org/10.4046/trd.2001.51.2.161 Published online August 1, 2001.

A Case of Bilateral Reexpansion Pulmonary Edema After Pleurocentesis.

Ki Up Kim, Hyung Ku Jung, Hyun Jun Park, Geon Young Cha, Sang Hoon Han, Eui Won Hwang, June Hyeuk Lee, Do Jin Kim, Moon Jun Na, Soo Taek Uh, Yong Hoon Kim, Choon Sik Park

Abstract

Acute bilateral reexpansion pulmonary edema after pleurocentesis is a rare complication. In one case, bilateral reexpansion pulmonary edema after unilateral pleurocentensis in sarcoma was reported. Verious hypotheses regarding the mechanism of reexpansion pulmonary edema include increased capillary permeability due to hypoxic injury, decreased surfactant production, altered pulmonary perfusion and mechanical stretching of the membranes. Ragozzino et al suggested that the mechanism leading to unilateral reexpansion pulmonary edema involves the opposite lung when there is significant contralateral lung compression. Here we report a case of bilateral reexpansion pulmonary edema and acute respiratory distress syndrome after a unilateral pleurocentesis of a large pleural effusion with contralateral lung compression and increased interstitial lung marking underlying chronic liver disease.

Key Words: Pleurocentesis, Bilateral reexpansion pulmonary edema, Acute respiratory distress syndrome