Re-expansion pulmonary edema in a patient with anorexia nervosa and delayed drainage of traumatic pneumothorax

Ines Marongiu; Tommaso Mauri; Elena Spinelli; Lorenzo Rosso; Giacomo Grasselli

doi:10.21037/acr.2019.11.01

Re-expansion pulmonary edema in a patient with anorexia nervosa and delayed drainage of traumatic pneumothorax

AME Case Rep. 2019 Dec 3:3:46. doi: 10.21037/acr.2019.11.01. eCollection 2019.

Authors

Ines Marongiu¹, Tommaso Mauri^{1

2}, Elena Spinelli², Lorenzo Rosso³, Giacomo Grasselli^{1

2}

Affiliations

¹ Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy.
² Department of Anesthesia, Critical Care and Emergency, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
³ Thoracic Surgery and Lung Transplant Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.

Abstract

A 21-year-old patient with anorexia developed re-expansion pulmonary edema after delayed drainage of traumatic pneumothorax. The patient was treated with non-invasive respiratory support [helmet continuous positive airway pressure (CPAP) and nasal high flow] until the resolution of the edema. Risk factors associated with re-expansion pulmonary edema are anorexia nervosa, prolonged lung collapse, age in the 20-39 range and re-expansion by high suctioning pressure.

Keywords: Pneumothorax; anorexia nervosa; high flow nasal cannula; re-expansion pulmonary edema.

Publication types

Case Reports