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Hydrothorax with alveolar-pleural fistula mimicking re-expansion pulmonary edema during liver transplantation -A case report-

Title
Hydrothorax with alveolar-pleural fistula mimicking re-expansion pulmonary edema during liver transplantation -A case report-
Authors
Woo J.H.Chung R.K.Baik H.J.Kim Y.J.
Ewha Authors
정락경백희정김윤진우재희
SCOPUS Author ID
정락경scopus; 백희정scopus; 김윤진scopus; 우재희scopus
Issue Date
2015
Journal Title
Korean Journal of Anesthesiology
ISSN
2005-6419JCR Link
Citation
vol. 68, no. 2, pp. 184 - 187
Keywords
FistulaHydrothoraxLiver transplantation
Publisher
Korean Society of Anesthesiologists
Indexed
SCOPUS; KCI scopus
Abstract
We present a case of an alveolar-pleural fistula with hepatic hydrothorax in a patient undergoing orthotropic liver transplantation, which was detected by drainage of transudate through an endotracheal tube during operation. A standard endotracheal tube was changed to a double-lumen tube to provide differential lung ventilation. The patient was diagnosed with an alveolar-pleural fistula by direct vision of an air leak during positive-pressure ventilation through a diaphragmatic incision. There was still a concern about worsening his ventilation due to persistent aspiration of pleural effusion towards the ipsilateral lung during the remaining operation period. Surgeon repaired the defect on the exposed lung surface via diaphragmatic opening. Anesthesiologists should consider an alveolar-pleural fistula as a possible differential diagnosis with re-expansion pulmonary edema when transudate emanating from the endotracheal tube is obtained in patients with massive hydrothorax. © the Korean Society of Anesthesiologists, 2015.
DOI
10.4097/kjae.2015.68.2.184
Appears in Collections:
의학전문대학원 > 의학과 > Journal papers
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