Fatal Delayed-Onset Bilateral Re-Expansion Pulmonary Edema After Pleural Drainage: A Case Report

We report a rare case of bilateral re-expansion pulmonary edema with delayed onset occurring 12-24 hours after pleural fluid drainage in a male patient in his eighties. Unlike the typical presentation, which occurs within 1-2 hours, this case involved bilateral lung involvement and a significantly delayed onset. This observation underscores the importance of close monitoring and heightened clinical vigilance following pleural drainage, particularly in elderly patients with multiple comorbidities. Our case highlights the importance of being aware of both common and uncommon complications associated with pleural drainage, underscoring the value of adhering to current clinical guidelines.

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Publication Details

Journal
Cureus
Published
2025-10-28
DOI
https://doi.org/10.7759/cureus.95577
Primary Topic
Pleural and Pulmonary Diseases
Type
article
Field-Weighted Citation Impact
0.00
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article

Fatal Delayed-Onset Bilateral Re-Expansion Pulmonary Edema After Pleural Drainage: A Case Report

Mohamed El Shafei, Ayman Elsayed, John M. Hutchinson
Cureus
Pleural and Pulmonary Diseases
article

Fatal Delayed-Onset Bilateral Re-Expansion Pulmonary Edema After Pleural Drainage: A Case Report

Mohamed El Shafei, Ayman Elsayed, John M. Hutchinson
article en

Abstract

We report a rare case of bilateral re-expansion pulmonary edema with delayed onset occurring 12-24 hours after pleural fluid drainage in a male patient in his eighties. Unlike the typical presentation, which occurs within 1-2 hours, this case involved bilateral lung involvement and a significantly delayed onset. This observation underscores the importance of close monitoring and heightened clinical vigilance following pleural drainage, particularly in elderly patients with multiple comorbidities. Our case highlights the importance of being aware of both common and uncommon complications associated with pleural drainage, underscoring the value of adhering to current clinical guidelines.

CureusVol. 17(10)
Sherwood Forest Hospitals NHS Foundation Trust (GB)
Openalex Percentile: Top 55%
Pleural and Pulmonary Diseases
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