Hydrothorax with alveolar-pleural fistula mimicking re-expansion pulmonary edema during liver transplantation -A case report
- 주제(키워드) Fistula , Hydrothorax , Liver transplantation
- 등재 KCI등재, SCOPUS
- 발행기관 Korean Society of Anesthesiologists
- 발행년도 2015
- 총서유형 Journal
- URI http://www.dcollection.net/handler/ewha/000000119182
- 본문언어 영어
- Published As http://dx.doi.org/10.4097/kjae.2015.68.2.184
초록/요약
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.
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