Case Report

Pleural Effusion Caused by Trapped Lung

Authors: Jay T. Heidecker, MD, Marc A. Judson, MD

Abstract

We report a case of pleural effusion from trapped lung secondary to sarcoidosis. The patient presented with dyspnea, right pleural effusion, left and right upper-lobe infiltrate and a widened mediastinum. The pleural effusion and dyspnea failed to respond to a course of oral corticosteroids but was relieved by decortication with stripping of inflammatory fibrous bands encasing the visceral pleural. Histologic examination of the lung, visceral and parietal pleura, and the fibrous adhesions all revealed noncaseating granulomas.

This content is limited to qualifying members.

Existing members, please login first

If you have an existing account please login now to access this article or view purchase options.

Purchase only this article ($25)

Create a free account, then purchase this article to download or access it online for 24 hours.

Purchase an SMJ online subscription ($75)

Create a free account, then purchase a subscription to get complete access to all articles for a full year.

Purchase a membership plan (fees vary)

Premium members can access all articles plus recieve many more benefits. View all membership plans and benefit packages.

References

References 1. Soskel NT, Sharma OP. Pleural involvement in sarcoidosis: Case presentation and detailed review of the literature. Semin Respir Med 1992; 13: 492–514.SoskelNT]]SharmaOPPleural involvement in sarcoidosis: Case presentation and detailed review of the literatureSemin Respir Med199213492 2. Poe RH. Middle-lobe atelectasis due to sarcoidosis with pleural effusion. N Y State J Med 1978; 78: 2095–2097.PoeRHMiddle-lobe atelectasis due to sarcoidosis with pleural effusionN Y State J Med1978782095 3. Claiborne RA, Kerby GR. Pleural sarcoidosis with massive effusion and lung entrapment. Kans Med 1990; 91( 4): 103–105.ClaiborneRA]]KerbyGRPleural sarcoidosis with massive effusion and lung entrapmentKans Med199091103 4. Cohen M, Sahn SA. Resolution of pleural effusions. Chest 2001; 119: 1547–1562.CohenM]]SahnSAResolution of pleural effusionsChest20011191547 5. Kollef MH. Trapped-lung syndrome after cardiac surgery: A potentially preventable complication of pleural injury. Heart Lung 1990; 19: 671–675.KollefMHTrapped-lung syndrome after cardiac surgery: A potentially preventable complication of pleural injuryHeart Lung199019671 6. Lee YC, Vaz MA, Ely KA, McDonald EC, Thompson PJ, Nesbitt JC, et al. Symptomatic persistent post-coronary artery bypass graft pleural effusions requiring operative treatment: Clinical and histologic features. Chest 2001; 119: 795–800.LeeYC]]VazMA]]ElyKA]]McDonaldEC]]ThompsonPJ]]NesbittJCSymptomatic persistent post-coronary artery bypass graft pleural effusions requiring operative treatment: Clinical and histologic featuresChest2001119795 7. Pien GW, Gant MJ, Washam CL, Sterman DH. Use of an implantable pleural catheter for trapped lung syndrome in patients with malignant pleural effusion. Chest 2001; 119: 1641–1646. This article documents the second reported case of pleural effusion as a result of trapped lung secondary to sarcoidosis. The patient presented with dyspnea, right plural effusion, left and right upper-lobe infiltrate, and widened mediastinum. Only after decortication did her pleural effusion and dyspnea resolve. Physiology, causes, and treatment of trapped lung are reviewed.PienGW]]GantMJ]]WashamCL]]StermanDHUse of an implantable pleural catheter for trapped lung syndrome in patients with malignant pleural effusionChest20011191641