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06 September 2013 : Case report  Morocco

Postobstructive pulmonary edema following accidental near-hanging

Unusual clinical course, Challenging differential diagnosis

Adnane Mohamed BerdaiABDEF, Smael LabibABDEF, Mustapha HarandouABDEF

DOI: 10.12659/AJCR.889415

Am J Case Rep 2013; 14:350-353

Abstract

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 indrawing, 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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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923