Edema pulmonar agudo grave secundario a tratamiento de neumotórax espontáneo primario. Caso clínico

• Autores: Carlos Barril Merino, María E. Solovera R., Felipe Bannura Y., Patricio Salas V.
• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 146, Nº. 11, 2018, págs. 1343-1346
• Idioma: español
• Títulos paralelos:
  • Pulmonary expansion edema during the management of a spontaneous pneumothorax. Report of one case
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• Resumen

  • Pulmonary expansion edema is a rare complication of the management of primary spontaneous pneumothorax. We report a 20 year old male admitted with a right primary spontaneous pneumothorax. A chest tube connected to a water seal was placed, achieving lung expansion. Immediately, the patient presented hypotension and a reduction in arterial oxygen saturation to 78%. Non-invasive ventilation was started. A chest X ray showed extensive right lung edema. The patient was managed with noradrenaline and albumin infusion with good response. Pulmonary edema resolved on day 3 but air leak was persistant so, the patient required surgery to excise apical bullae in the right lung. He was discharged during the following days in good condition.