<abstract xmlns="http://www.w3.org/1999/xhtml"><p><bold>Introduction</bold>: The Acute Respiratory Distress Syndrome (ARDS) is a severe hypoxemic acute lung injury that may com­plicate lung resections. Reported mortality is very high, up to 50%. This report covers an ARDS case occurring post left pneumonectomy, with a favorable outcome, despite association with an acute colonic pseudo-obstruction syndrome (Ogilvie syndrome) that required abdominal surgery for decompression.</p><p><bold>Case report:</bold> A 60-year old Caucasian male, diagnosed with a stage IIIA left lung tumor underwent a left pneumonec­tomy. On the second postoperative day, the patient developed ARDS, requiring ventilatory support. Two days later, as the multiple organ dysfunction worsened, a bowel obstruction occurred. With an acute colonic pseudo-obstruction diagnosis, the decision was to perform laparotomy and a temporary cecostomy. A subsequent improvement in the respiratory parameters and vital functions resulted in weaning from ventilator 8 days after the onset of the ARDS and transfer to the surgery ward 14 days after pneumonectomy.</p></abstract>

Introduction: The Acute Respiratory Distress Syndrome (ARDS) is a severe hypoxemic acute lung injury that may com­plicate lung resections. Reported mortality is very high, up to 50%. This report covers an ARDS case occurring post left pneumonectomy, with a favorable outcome, despite association with an acute colonic pseudo-obstruction syndrome (Ogilvie syndrome) that required abdominal surgery for decompression.Case report: A 60-year old Caucasian male, diagnosed with a stage IIIA left lung tumor underwent a left pneumonec­tomy. On the second postoperative day, the patient developed ARDS, requiring ventilatory support. Two days later, as the multiple organ dysfunction worsened, a bowel obstruction occurred. With an acute colonic pseudo-obstruction diagnosis, the decision was to perform laparotomy and a temporary cecostomy. A subsequent improvement in the respiratory parameters and vital functions resulted in weaning from ventilator 8 days after the onset of the ARDS and transfer to the surgery ward 14 days after pneumonectomy.

Post-Pneumonectomy ARDS and Ogilvie Syndrome – A Case Report

Marius Nasta” Pneumophtisiology Institute

“Carol Davila” University of Medicine and Pharmacy

The Journal of Critical Care Medicine

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

{"article-title":"Post-Pneumonectomy ARDS and Ogilvie Syndrome \u2013 A Case Report"}

Introduction: The Acute Respiratory Distress Syndrome (ARDS) is a severe hypoxemic acute lung injury that may com­plicate lung resections. Reported mortality...

Post-Pneumonectomy ARDS and Ogilvie Syndrome – A Case Report

Published Online: Feb 09, 2018

Page range: 34 - 37

Received: Nov 04, 2017

Accepted: Jan 30, 2018

DOI: https://doi.org/10.2478/jccm-2018-0007

Keywords
post-pneumonectomy ARDS, Ogilvie syndrome, acute colonic pseudo-obstruction, cecostomy

© 2018 Radu T. Stoica et al., published by De Gruyter Open

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Post-Pneumonectomy ARDS and Ogilvie Syndrome – A Case Report

Published Online: Feb 09, 2018

Page range: 34 - 37

Received: Nov 04, 2017

Accepted: Jan 30, 2018

DOI: https://doi.org/10.2478/jccm-2018-0007

Keywordspost-pneumonectomy ARDS, Ogilvie syndrome, acute colonic pseudo-obstruction, cecostomy

© 2018 Radu T. Stoica et al., published by De Gruyter Open

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Keywords
post-pneumonectomy ARDS, Ogilvie syndrome, acute colonic pseudo-obstruction, cecostomy