Abstract
Pleural effusion is the abnormal collection of fluid in the pleural cavity. It can be classified as transudative and exudative and it can
present with multiple symptoms including cough, dyspnea, orthopnea etc. Here we present a case of a critically ill man with cough,
dyspnea, hypotension with X-ray Chest and a HRCT demonstrating massive right sided pleural effusion causing obstructive shock
leading to hypotension BP 70/50 mmHg which was corrected immediately after chest drain insertion. Although previously reported
yet still it is a very rare cause of an obstructive shock hence should be kept in the pool of differentials while encountering a patient of
shock.
Rohan Habib, Fahad Ahmed, Sabir Khan Khattak, Pirzada Waleed Ahmed Masoodi, Zainab Zaib, Wajeeha Riaz. (2020) Massive pleural effusion: A rare cause of an obstructive shock, Isra Medical Journal, Volume 12, Issue 3.
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