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Abate Yeshidinber Weldetsadik,1 Abayneh Girma Demisse2 1St Paul’s Hospital Millennium Medical College, Department of Pediatrics and Child Health, Pediatric Respiratory and Intensive Care Division, Addis Ababa, Ethiopia; 2St Paul’s Hospital Millennium Medical College, Department of Pediatrics and Child Health, Addis Ababa, EthiopiaCorrespondence: Abate Yeshidinber Weldetsadik, St Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia, Email yeshidinbera@yahoo.comBackground: Re-expansion Pulmonary Edema (RPE) is a non-cardiogenic form of pulmonary edema which occurs following rapid lung expansion after drainage of significant pneumothorax or pleural effusion, and rarely following resection of obstructive mediastinal mass. RPE is a rare but potentially fatal phenomenon with only few case reports in the pediatric literature.Methods: We are reporting a case of RPE in a 5-year-old girl following drainage of pneumothorax who succumbed to worsening hypoxemia despite therapy with mechanical ventilation and other supportive care.Conclusion: RPE should be anticipated, and early preventive, diagnostic and therapeutic measures should be instituted in high-risk patients who require significant pleural fluid or air drainage.Keywords: pulmonary edema, re-expansion, pneumothorax, pleural effusion, chest tube, Ethiopia

Isolated unilateral absence of the pulmonary artery is a rare anomaly with congenital absence of the left or right pulmonary artery in the absence of other cardiac malformation, and diagnosis is usually made during adolescence. We report a 4-year old male child with isolated absence of the right pulmonary artery, who presented with recurrent chest infection and wheezing since infancy.

Abate Yeshidinber Weldetsadik, Yemisrach Mekonnen Asfaw, Atnafu Mekonnen Tekleab Department of Pediatrics and Child Health, Saint Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia Abstract: Isolated unilateral absence of the pulmonary artery is a rare anomaly with congenital absence of the left or right pulmonary artery in the absence of other cardiac malformation, and diagnosis is usually made during adolescence. We report a 4-year old male child with isolated absence of the right pulmonary artery, who presented with recurrent chest infection and wheezing since infancy. Keywords: pulmonary artery, child, wheeze, chest infection, Ethiopia