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Re-expansion pulmonary oedema (RPE) is not so rare complication associated with sudden expansion of a collapsed lung. RPE has been most frequently reported following rapid drainage of a large pneumothorax or chronic pleural effusion. Development of RPE following removal of a large intrathoracic mass is not commonly recognised, though sporadic reports exist in the literature. RPE can be fatal, but early diagnosis with appropriate management usually leads to satisfactory outcomes. We report a case of RPE, which occurred following removal of a giant intra-thoracic mass and its subsequent management and outcome with a brief review of relevant literature.
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http://dx.doi.org/10.1007/s12055-022-01418-y | DOI Listing |
Respirol Case Rep
September 2025
Respiratory Unit Hospital Canselor Tuanku Muhriz, Universiti Kebangsaan Malaysia Kuala Lumpur Malaysia.
Management of malignant pleural effusion (MPE) via medical thoracoscopy presents a clinical challenge, particularly when deciding whether to proceed with talc poudrage during the same setting. This decision is often complicated by uncertainty about lung re-expansion and the potential failure of pleurodesis. We describe a series of three patients with cancer-associated MPE who underwent medical thoracoscopy with talc poudrage combined with indwelling pleural catheter (IPC) insertion.
View Article and Find Full Text PDFJ Emerg Med
August 2025
Department of Emergency Medicine, Rush University Medical Center, Chicago, Illinois.
Background: Pleural cavity decompression with surgical tube thoracostomy or placement of a pleural catheter is an integral component of therapy for air or fluid within the pleural cavity and a core skill in emergency medicine.
Objective: This narrative review provides a focused review of tube thoracostomy and pleural catheter placement in the emergency department.
Discussion: Surgical tube thoracostomy or pleural catheter placement is performed to remove air or fluid from the pleural cavity and can be a life-saving procedure with no absolute contraindications.
JA Clin Rep
August 2025
Department of Anesthesiology, Kobe Ekisaikai Hospital, Kobe, Japan.
Background: Guidelines recommend prophylactic chest tube placement in patients with traumatic pneumothorax who require positive pressure ventilation to prevent tension pneumothorax. However, chest tube insertion is not without complications, and avoiding it when safely possible is desirable.
Case Presentation: A man in his 50 s with a left clavicle fracture and mild left-sided occult pneumothorax on computed tomography was scheduled for surgery under general anesthesia.
BMJ Case Rep
August 2025
Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Mangaluru, Karnataka, India.
Situs inversus totalis (SIT) is a rare congenital anomaly characterised by a complete mirror-image reversal of internal organ positioning. It is often associated with primary ciliary dyskinesia (PCD), a disorder characterised by defective mucociliary clearance and recurrent respiratory infections. Pulmonary complications are common in PCD, but diagnosis is often delayed unless phenotypic clues such as SIT are recognised early.
View Article and Find Full Text PDFMonaldi Arch Chest Dis
July 2025
Division of Pulmonary and Critical Care Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
Equipoise exists regarding the optimal method to drain pleural fluid during thoracentesis. While several institutions use wall-based automated suction, others point to the risk of excessively high suction pressures and therefore elevated barotrauma risk as a reason to avoid it. We first performed in vitro experiments involving drainage of a 1-liter saline bag using standard thoracentesis apparatus, a digital manometer, and either manual drainage (using a 60 mL syringe) or automated drainage (using wall suction at the maximum setting).
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