BENIGN EMPTYING OF THE POST-PNEUMONECTOMY SPACE: WHERE DID THE FLUID GO?

Abstract

The authors present the case of a patient submitted to a left pneumonectomy, with a sudden postoperative drop in the normal intrapleural effusion, while no other clinical features, and with no fistula identified. This rare entity described as a benign emptying of the post-pneumonectomy space (BEPS) has a not well-established aetiology and is suspected to be caused by either a lesion in the diaphragm or chest wall, or a microbronchopleural fistula. Given its benign course, a close monitoring and a high level of suspicion is warranted to avoid unnecessary and invasive interventions.

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References

. Lam S. Loss of pleural fluid level postpneumonectomy. BMJ Case Rep. 2016;2016.
2. Merritt RE, Reznik SI, DaSilva MC, Sugarbaker DJ, Whyte RI, Donahue DM, et al. Benign emptying of the postpneumonectomy space. Ann Thorac Surg. 2011;92(3):1076-81; discussion 81-2.
3. Kirschner PA. Porous diaphragm syndromes. Chest Surg Clin N Am. 1998;8(2):449-72.
4. Kanakis MA, Misthos PA, Tsimpinos MD, Rapti NG, Chatzis AC, Lioulias AG. Benign emptying of the post-pneumonectomy space: recognizing this rare complication retrospectively. Interact Cardiovasc Thorac Surg. 2015;21(5):685-7.
5. Gelvez-Zapata S, Manley K, Levai I, Large S, Coonar AS. Benign emptying of postpneumonectomy space due to severe dehydration. Ann Thorac Surg. 2013;95(3):1088-9.
Published
2023-06-23
How to Cite
LEITE, Filipe; PAUPÉRIO, Gonçalo. BENIGN EMPTYING OF THE POST-PNEUMONECTOMY SPACE: WHERE DID THE FLUID GO?. Revista Portuguesa de Cirurgia, [S.l.], n. 55, p. 33-36, june 2023. ISSN 2183-1165. Available at: <https://revista.spcir.com/index.php/spcir/article/view/1001>. Date accessed: 14 june 2024. doi: https://doi.org/10.34635/rpc.1001.
Section
Clinical Case