Re-expansion pulmonary edema after pleurocan catheterization: a case report

Authors

İbrahim Mungan, Hayriye Cankar Dal, Derya Tatlısuluoğlu Ademoğlu, Büşra Tezcan, Sema Turan
  • İbrahim Mungan (Author) Department of Intensive Care, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara
  • Hayriye Cankar Dal (Author) Department of Intensive Care, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara
  • Derya Tatlısuluoğlu Ademoğlu (Author) Department of Intensive Care, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara
  • Büşra Tezcan (Author) Department of Intensive Care, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara
  • Sema Turan (Author) Department of Intensive Care, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara
https://doi.org/10.18621/eurj.373351
Re-expansion pulmonary edema (RPE) is a rare but potentially hazardous complication following evacuation of the pleural region. Symptomatic RPE occurs in less than 1% of patients after pleural drainage. Early diagnosis and treatment determines the progression of the disease and it is life-saving. The present case describes a 68-year-old man who developed RPE with the ipsilateral collapsed lung 6 hours after pleural drainage of a non-malignant effusion. He was intubated and 6 hours after aggressive treatment with mechanical ventilation support oxygenation was improved and the patient's blood gas analysis recovered. Over the course of his 12-day hospitalization, he was extubated and oxygen support was slowly weaned down. Mortality rate of RPE in severe cases is approximately 20%, therefore preventive interventions gain importance. In spite of the rare incidence of RPE, being aware of this potential condition can allow for early and proper management. 
Re-expansion pulmonary edema, pleural catheter, intensive care

[1] Dias OM, Teixeira LR, Vargas FS. Reexpansion pulmonary edema after therapeutic thoracentesis. Clinics 2010;65:1387-9.

[2] Kim JJ, Kim YH, Choi SY, Jeong SC, Moon SW. Contralateral reexpansion pulmonary edema with ipsilateral collapsed lung after pleural effusion drainage: a case report. J Cardiothorac Surg 2015;10:68.

[3] Verhagen M, van Buijtenen JM, Geeraedts LMG. Reexpansion pulmonary edema after chest drainage for pneumothorax: A case report and literature overview. Respir Med Case Rep 2015;14:10-12.

[4] Kasmani R, Irani F, Okoli K, Mahajan V. Re-expansion pulmonary edema following thoracentesis. CMAJ 2010;182:2000-2.

[5] de Wolf SP, Deunk J, Cornet AD, Elbers PW. Case Report: Bilateral reexpansion pulmonary edema following treatment of a unilateral hemothorax. Research 2014:3:318.

[6] Corcoran JP, Psallidas I, Wrightson JM, Hallifax RJ, Rahman NM. Pleural procedural complications: prevention and management. J Thorac Dis 2015;7:1058-67.

[7] Özsin KK, Toktaş F, Sanrı US, Kahraman N, Yavuz Ş. Re-expansion pulmonary edema caused by pleural effusion drainage in late period after coronary artery bypass surgery: case report. Turkiye Klinikleri Arch Lung 2017;18:25-8.

There are 7 references in total.
1.
Mungan İbrahim, Cankar Dal H, Tatlısuluoğlu Ademoğlu D, Tezcan B, Turan S. Re-expansion pulmonary edema after pleurocan catheterization: a case report. Eur Res J. 2018;4(3):245-247. doi:10.18621/eurj.373351

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Article Information

  • Article Type Case Report
  • Submitted February 21, 2026
  • Published July 3, 2018
  • Issue Vol. 4 No. 3 (2018)
  • Section Case Report
  • File Downloads 999
  • Abstract Views 357
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