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Acute unilateral lung injury secondary to lung reexpansion. Case report

By
Jorge Soneira Pérez ,
Jorge Soneira Pérez

Hospital Clínico-Quirúrgico Miguel Enríquez. Unidad de cuidados Intensivo. La Habana, Cuba

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Yanin Diaz Lara ,
Yanin Diaz Lara

Hospital Clínico-Quirúrgico Miguel Enríquez. Unidad de cuidados Intensivo. La Habana, Cuba

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Jhossmar Cristians Auza-Santivañez ,
Jhossmar Cristians Auza-Santivañez

Ministerio de Salud y Deportes. Instituto Académico Científico Quispe-Cornejo. La Paz, Bolivia

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José Yair Santos Moreira ,
José Yair Santos Moreira

Universidad de Ciencias Médicas de la Habana. La Habana, Cuba

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Santiago Nelson Pérez O’Farrill ,
Santiago Nelson Pérez O’Farrill

Hospital Clínico-Quirúrgico Miguel Enríquez. Unidad de cuidados Intensivo. La Habana, Cuba

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Giovanni Callizaya Macedo ,
Giovanni Callizaya Macedo

Hospital del Niño “Dr. Ovidio Aliaga Uria". La Paz, Bolivia

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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.
Conclusions: 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

How to Cite

1.
Soneira Pérez J, Diaz Lara Y, Auza-Santivañez JC, Santos Moreira JY, Pérez O’Farrill SN, Callizaya Macedo G. Acute unilateral lung injury secondary to lung reexpansion. Case report. SCT Proceedings in Interdisciplinary Insights and Innovations [Internet]. 2024 Jun. 12 [cited 2024 Jul. 18];2:344. Available from: https://proceedings.saludcyt.ar/index.php/piii/article/view/344

The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.

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