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A challenging diagnosis of dyspnea: A case report of contralateral reexpansion pulmonary edema

Alfonso Sforza, Maria V. Carlino, Giovanni Albano, Maria I. Arnone, Giuliano De Stefano, Andrea D'Amato, Federica De Pisapia, Giovanni de Simone, Costantino Mancusi
  • Alfonso Sforza
    Hypertension Research Center, Federico II University Hospital, Italy
  • Maria V. Carlino
    Hypertension Research Center, Federico II University Hospital, Italy
  • Giovanni Albano
    University of Naples Federico II, Hypertension Research Center, Italy
  • Maria I. Arnone
    University of Naples Federico II, Hypertension Research Center, Italy
  • Giuliano De Stefano
    University of Naples Federico II, Hypertension Research Center, Italy
  • Andrea D'Amato
    University of Naples Federico II, Hypertension Research Center, Italy
  • Federica De Pisapia
    University of Naples Federico II, Hypertension Research Center, Italy
  • Giovanni de Simone
    University of Naples Federico II, Hypertension Research Center, Italy

Abstract

Reexpansion pulmonary edema (RPE) is an uncommon complication of thoracentesis or chest drainage. It occurs in the ipsilateral or contralateral lung. Causes, pathogenesis and therapy are not well understood especially for contralateral RPE. We describe a case of fatal contralateral RPE in a 59-years-old woman with right lung cancer underwent ultrasound-guided thoracentesis for massive pleural effusion and severe dyspnea. Pathogenesis of contralateral RPE is probably multifactorial and in this case is mostly due to the overperfusion of the healthy lung and consequent capillary damage. The right therapy for this condition is not known.

Keywords

Thoracentesis; lung ultrasound; point-of-care ultrasound; acute dyspnea; lung cancer.

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Submitted: 2017-12-12 09:29:50
Published: 2018-03-19 10:56:31
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Copyright (c) 2018 Alfonso Sforza, Maria V. Carlino, Giovanni Albano, Maria I. Arnone, Giuliano De Stefano, Andrea D'Amato, Federica De Pisapia, Giovanni De Simone, Costantino Mancusi

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