Acute neurogenic pulmonary edema following abdominal surgery

Acute neurogenic pulmonary edema, a rare and underdiagnosed clinical entity, can occur after virtually any form of injury to the central nervous system and is a potential early contributor to pulmonary dysfunction in patients with head injuries. Here, we report a single case of neurogenic pulmonary edema following abdominal surgery. A 24-year-old man became increasingly dyspneic and developed clinical and laboratory signs of respiratory failure. Chest radiography revealed bilateral diffuse infiltrates, whereas an electrocardiogram revealed ST abnormalities and cardiac echocardiography indicated decreased LV systolic function, with recovery within 72 h. The pathophysiologic construct for abdominal surgery-induced pulmonary edema is thought to be the same as for neurogenic pulmonary edema, with a massive sympathetic nervous system discharge being the common denominator in both conditions. (Korean J Med 75:S848-S853, 2008)

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