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

https://doi.org/10.4081/monaldi.2018.900

Authors

  • 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.
  • Costantino Mancusi | costantino.mancusi@unina.it 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.

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Published
2018-03-19
Info
Issue
Section
Pneumology - Case Reports
Keywords:
Thoracentesis, lung ultrasound, point-of-care ultrasound, acute dyspnea, lung cancer.
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  • PDF: 346
How to Cite
Sforza, Alfonso, Maria V. Carlino, Giovanni Albano, Maria I. Arnone, Giuliano De Stefano, Andrea D’Amato, Federica De Pisapia, Giovanni de Simone, and Costantino Mancusi. 2018. “A Challenging Diagnosis of Dyspnea: A Case Report of Contralateral Reexpansion Pulmonary Edema”. Monaldi Archives for Chest Disease 88 (1). https://doi.org/10.4081/monaldi.2018.900.

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