Near Hanging Induced Negative Pressure Pulmonary Edema

Authors

  • Pornchanan Wuttisakdanon Department of Surgery, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand.
  • Tattharit Sakdaauscoskul Department of Surgery, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand.
  • Anon Saelim Department of Surgery, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand.
  • Jittima Phativitayaporn Department of Surgery, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand.
  • Osaree Akaraborworn Division of Trauma and Critical Care, Department of Surgery, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand.

DOI:

https://doi.org/10.31584/psumj.2025273421

Keywords:

hanging, near hanging, NPPE, post obstructive pulmonary edema

Abstract

Negative pressure pulmonary edema (NPPE) is a rare condition with a high mortality rate. This condition causes acute respiratory failure occurring when sudden, forceful inspiration is against an obstructed airway. Near-hanging is referred to patients having survived a hanging injury. During hanging, the entire neck structure is compressed. This causes sudden airway obstruction, and may develop into acute respiratory failure from suddenly increase intrathoracic pressure. To our knowledge there have not often been reported incidences of negative pressure pulmonary edema after a near hanging condition. Herein, we report a case of negative pressure pulmonary edema after hanging condition.

References

Bhattacharya M, Kallet RH, Ware LB, Matthay MA. Negative-pressure pulmonary edema. Chest 2016;150:927–33.

Liu R, Wang J, Zhao G, Su Z. Negative pressure pulmonary edema after general anesthesia: a case report and literature review. Medicine 2019;98:e1538. doi: 10.1097/MD.0000000000015389.

Lemyze M, Mallat J. Understanding negative pressure pulmonary edema. Intensive Care Med 2014;40:1140–3. doi: 10.1007/s00134-014-3307-7.

Ma J, Liu T, Wang Q, Xia X, Guo Z, Feng Q, et al. Negative pressure pulmonary edema (Review). Exp Ther Med 2023;26:1–7. doi: 10.3892/etm.2023.12154.

Capitanio MA, Kirkpatrick JA. Obstructions of the upper airway in children as reflected on the chest radiograph. Radiology 1973;107:159–61.

Udeshi A, Cantie SM, Pierre E. Postobstructive pulmonary edema. J Crit Care 2010;25:508.e1-5.

Scharf SM, Brown R, Tow DE, Parisi AF. Cardiac effects of increased lung volume and decreased pleural pressure in man. J Appl Physiol 1979;47:257–62.

Oswalt CE, Gates GA, Holmstrom MG. Pulmonary edema as a complication of acute airway obstruction. JAMA 1977;238:1833-5.

Tami TA, Chu F, Wildes TO, Kaplan M. Pulmonary edema and acute upper airway obstruction. The Laryngoscope 1986;96:506–9.

Lang SA, Duncan PG, Shephard DA, Ha HC. Pulmonary oedema associated with airway obstruction. Can J Anaesth J Can Anesth 1990;37:210–8.

Berdai AM, Labib S, Harandou M. Postobstructive pulmonary edema following accidental near-hanging. Am J Case Rep 2013;14:350-3. doi: 10.12659/AJCR.889415.

Mantha S, Rao SM. Noncardiogenic pulmonary oedema after attempted suicide by hanging. Anaesthesia 1990;45:993–4.

Downloads

Published

2025-08-22

How to Cite

1.
Wuttisakdanon P, Sakdaauscoskul T, Saelim A, Phativitayaporn J, Akaraborworn O. Near Hanging Induced Negative Pressure Pulmonary Edema. PSU Med J [internet]. 2025 Aug. 22 [cited 2026 Jan. 12];5(2):75-9. available from: https://he01.tci-thaijo.org/index.php/PSUMJ/article/view/273421

Issue

Vol. 5 No. 2 (2025): May-Aug

Section

Short Reports

License

Copyright (c) 2025 Author and Journal

Creative Commons License

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