Acute unilateral lung injury secondary to lung reexpansion. Case report

Jorge Soneira Pérez, Yanin Diaz Lara, Jhossmar Cristians Auza-Santivañez, José Yair Santos Moreira, Santiago Nelson Pérez O’Farrill and Giovanni Callizaya Macedo

SCT Proceedings in Interdisciplinary Insights and Innovations, 2024, vol. 2, 10.56294/piii2024344

Abstract: Introduction: Lung reexpansion is a rare complication, generally less than 1%, that can occur after rapid drainage of a pneumothorax or pleural effusion. Its mortality can reach 20%. Clinical case: A 22-year-old female patient reported experiencing dizziness, weakness, vomiting containing food, presence of blood clots and bloody-looking stools, which is why she was taken to the hospital to the emergency department, and underwent surgery for upper digestive bleeding. In its evolution, it presents a picture of acute unilateral lung injury secondary to lung reexpansion when draining a pleural effusion. Medical and ventilatory treatment is imposed and the patient evolves favorably. Lung injury due to lung re-expansion is a rare entity; clinical suspicion is essential to act diligently and thus avoid complications. Good ventilatory management of Respiratory Distress Syndrome is essential, emphasizing protective mechanical ventilation and the appropriate use of PEEP

Date: 2024
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