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CASE REPORT
Year : 2020  |  Volume : 9  |  Issue : 1  |  Page : 42-44

A rare case of re-expansion pulmonary oedema after medical thoracoscopy


1 Department of Pulmonary Medicine, All India Institute of Medical Sciences, Patna, Bihar, India
2 Department of General Medicine, All India Institute of Medical Sciences, Patna, Bihar, India

Correspondence Address:
Deependra Kumar Rai
Associate Professor and Head, Department of Pulmonary Medicine, All India Institute of Medical Sciences, Patna 801 507, Bihar
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/JCSR.JCSR_5_19

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Re-expansion pulmonary oedema of the lung occurs after rapid removal of air or liquid from the pleural space by either chest drainage or thoracocentesis. Re-expansion pulmonary oedema is a rare but serious complication. A 29-year-old male patient presented to us with left-sided massive pleural effusion. We performed medical thoracoscopy; however, an hour after procedure, he started having cough and increased breathlessness. Chest radiograph showed left-sided homogeneous opacity in the left mid and lower zone consistent with unilateral pulmonary oedema. He was managed conservatively along with bi-level positive airway pressure non-invasive ventilator support. His condition improved gradually and was discharged successfully after 5 days.


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