Re-expansion pulmonary oedema

Case contributed by Dr Jayanth Keshavamurthy

Presentation

ICU chest film on list to read. Patient was intubated elsewhere and transferred to a tertiary medical center.

Patient Data

Age: 20
Gender: Female
X-ray

Unilateral pulmonary oedema from rexpansion

The endotracheal tube is low. There is a left pleural pig tail catheter. There is unilateral left lung reexpansion pulmonary oedema.

X-ray

There is right main stem intubation. There is complete colapse of left lung with mediastinal shift to left. There is hyperexpansion of the right lung.

Case Discussion

The ET tube was lower on a film 4 hours prior to the first. The left lung was collapsed due to right main stem intubation. It was not recognised by the team on the floor. They did retract the ET tube and also put in a chest tube which was not necessary.

Fortunately patient did well and went home without any complications like broncho pleural fistula.

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Case information

rID: 35078
Case created: 20th Mar 2015
Last edited: 18th Dec 2015
Inclusion in quiz mode: Included

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