- Email: [email protected]
An unusual phenomenon following simple aspiration of pneumothorax
ARTICLE IN PRESS Respiratory Medicine Extra (2007) 3, 181
respiratory MEDICINE Extra
CASE REPORT
An unusual phenomenon following simple aspiration of pneumothorax Daniel K.C. Lee Department of Respiratory Medicine, Norfolk and Norwich University Hospital, Colney Lane, Norwich, NR4 7UY, Norfolk, UK Received 29 August 2007; accepted 13 September 2007
A 62-year-old gentleman presented with a 10-day history of right sided pleuritic chest pain and shortness of breath. Chest X-ray (CXR) on admission (left) confirmed a primary spontaneous pneumothorax of the right lung. This was treated with simple needle aspiration. CXR immediately after the procedure (middle) showed re-expansion of the right lung with unilateral pulmonary oedema. Subsequent CXR (right) demonstrated complete resolution of both the pneumothorax and re-expansion pulmonary oedema (REPO).
Tel.: +44 7788665545.
E-mail address: [email protected] 1744-9049/$ - see front matter & 2007 Elsevier Ltd. All rights reserved. doi:10.1016/j.rmedx.2007.09.009
REPO is an extremely uncommon but recognised complication of re-expansion of the lung following evacuation of either air or fluid from the pleural space. REPO has an overall incidence of 1% and its occurrence after simple needle aspiration of pneumothorax is exceptionally rare. Despite treatment which involves resuscitation with intravenous fluid and oxygen therapy, REPO is potentially fatal with mortality as high as 20%.
respiratory MEDICINE Extra
CASE REPORT
An unusual phenomenon following simple aspiration of pneumothorax Daniel K.C. Lee Department of Respiratory Medicine, Norfolk and Norwich University Hospital, Colney Lane, Norwich, NR4 7UY, Norfolk, UK Received 29 August 2007; accepted 13 September 2007
A 62-year-old gentleman presented with a 10-day history of right sided pleuritic chest pain and shortness of breath. Chest X-ray (CXR) on admission (left) confirmed a primary spontaneous pneumothorax of the right lung. This was treated with simple needle aspiration. CXR immediately after the procedure (middle) showed re-expansion of the right lung with unilateral pulmonary oedema. Subsequent CXR (right) demonstrated complete resolution of both the pneumothorax and re-expansion pulmonary oedema (REPO).
Tel.: +44 7788665545.
E-mail address: [email protected] 1744-9049/$ - see front matter & 2007 Elsevier Ltd. All rights reserved. doi:10.1016/j.rmedx.2007.09.009
REPO is an extremely uncommon but recognised complication of re-expansion of the lung following evacuation of either air or fluid from the pleural space. REPO has an overall incidence of 1% and its occurrence after simple needle aspiration of pneumothorax is exceptionally rare. Despite treatment which involves resuscitation with intravenous fluid and oxygen therapy, REPO is potentially fatal with mortality as high as 20%.