Unexpandable lung from pleural disease

Unexpandable lung is a common complication of malignant pleural effusions and inflammatory pleural diseases, such as pleural infection (e.g. empyema and complicated parapneumonic effusion) and noninfectious fibrinous pleuritis. Unexpandable lung due to pleural disease may be because of an active ple...

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Main Authors: Huggins, J, Maldonado, F, Chopra, A, Rahman, N, Light, R
Format: Journal article
Published: Wiley 2017
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author Huggins, J
Maldonado, F
Chopra, A
Rahman, N
Light, R
author_facet Huggins, J
Maldonado, F
Chopra, A
Rahman, N
Light, R
author_sort Huggins, J
collection OXFORD
description Unexpandable lung is a common complication of malignant pleural effusions and inflammatory pleural diseases, such as pleural infection (e.g. empyema and complicated parapneumonic effusion) and noninfectious fibrinous pleuritis. Unexpandable lung due to pleural disease may be because of an active pleural process, and is referred to as malignant or inflammatory lung entrapment. An unexpandable lung may also be encountered in the setting of remote pleural inflammation resulting in a mature fibrous membrane overlying the visceral pleura preventing full expansion of the lung. This condition is termed trapped lung and may be understood as a form of defective healing of the pleural space. Trapped lung typically presents as a chronic, stable pleural effusion without evidence of active pleural disease. An unexpandable lung most often manifests itself as an inability of fully expanding the lung with pleural space drainage. Patients will either develop chest pain preventing complete drainage of the pleural space or develop a post-procedure pneumothorax. Pleural manometry and radiological imaging are useful in the assessment of an unexpandable lung. Pleural manometry can demonstrate abnormal lung expansion during drainage and imaging will demonstrate abnormal visceral pleural thickening found in trapped lung or malignant and inflammatory lung entrapment.
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spelling oxford-uuid:23015adb-b9c2-441a-82a4-21772d5dc8252022-03-26T11:41:50ZUnexpandable lung from pleural diseaseJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:23015adb-b9c2-441a-82a4-21772d5dc825Symplectic Elements at OxfordWiley2017Huggins, JMaldonado, FChopra, ARahman, NLight, RUnexpandable lung is a common complication of malignant pleural effusions and inflammatory pleural diseases, such as pleural infection (e.g. empyema and complicated parapneumonic effusion) and noninfectious fibrinous pleuritis. Unexpandable lung due to pleural disease may be because of an active pleural process, and is referred to as malignant or inflammatory lung entrapment. An unexpandable lung may also be encountered in the setting of remote pleural inflammation resulting in a mature fibrous membrane overlying the visceral pleura preventing full expansion of the lung. This condition is termed trapped lung and may be understood as a form of defective healing of the pleural space. Trapped lung typically presents as a chronic, stable pleural effusion without evidence of active pleural disease. An unexpandable lung most often manifests itself as an inability of fully expanding the lung with pleural space drainage. Patients will either develop chest pain preventing complete drainage of the pleural space or develop a post-procedure pneumothorax. Pleural manometry and radiological imaging are useful in the assessment of an unexpandable lung. Pleural manometry can demonstrate abnormal lung expansion during drainage and imaging will demonstrate abnormal visceral pleural thickening found in trapped lung or malignant and inflammatory lung entrapment.
spellingShingle Huggins, J
Maldonado, F
Chopra, A
Rahman, N
Light, R
Unexpandable lung from pleural disease
title Unexpandable lung from pleural disease
title_full Unexpandable lung from pleural disease
title_fullStr Unexpandable lung from pleural disease
title_full_unstemmed Unexpandable lung from pleural disease
title_short Unexpandable lung from pleural disease
title_sort unexpandable lung from pleural disease
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