Hospital Clínico-Quirúrgico Miguel Enríquez. Unidad de cuidados Intensivo. La Habana, Cuba
Hospital Clínico-Quirúrgico Miguel Enríquez. Unidad de cuidados Intensivo. La Habana, Cuba
Ministerio de Salud y Deportes. Instituto Académico Científico Quispe-Cornejo. La Paz, Bolivia
Universidad de Ciencias Médicas de la Habana. La Habana, Cuba
Hospital Clínico-Quirúrgico Miguel Enríquez. Unidad de cuidados Intensivo. La Habana, Cuba
Hospital del Niño “Dr. Ovidio Aliaga Uria". La Paz, Bolivia
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
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