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. 2013 Sep 6:14:350-3.
doi: 10.12659/AJCR.889415. eCollection 2013.

Postobstructive pulmonary edema following accidental near-hanging

Adnane Mohamed Berdai  1 , Smael Labib, Mustapha Harandou
Affiliations

Postobstructive pulmonary edema following accidental near-hanging

Adnane Mohamed Berdai et al. Am J Case Rep. .

Abstract

Patient: Female, 14 FINAL DIAGNOSIS: Postobstructive pulmonary edenma Symptoms: Chest indrawing • bilateral pulmonary crepitations • tachypnea

Medication: - Clinical Procedure: Controlled ventilatory support • positive end expiratory pressure Specialty: Intensive care.

Objective: Unusual clinical course.

Background: Postobstructive pulmonary edema (POPE) is a life-threatening complication that occurs after the relief of an upper airway obstruction. POPE occurs rarely in children, primarily after non-lethal hanging.

Case report: We report the case of a 14-year-old girl who developed POPE after accidental near hanging. She had chest in-drawing, the SpO2 was 81% on room air, and pulmonary auscultation revealed bilateral crepitations. The chest x-ray showed bilateral diffuse infiltrates consistent with pulmonary edema. The intensive care management consisted of controlled ventilatory support with high-level positive end expiratory pressure. On the third day of hospitalization, the patient was weaned from the ventilator and extubated with a full recovery.

Conclusions: This case confirms the importance of early recognition of POPE and the value of adapted treatment, which can lead to a favorable outcome and full recovery in cases of near hanging.

Keywords: child; near hanging; post-obstructive pulmonary edema.

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Figures

Figure 1
Figure 1
Chest x-ray shows diffuse, bilateral infiltrates consistent with pulmonary edema.
See this image and copyright information in PMC

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