Abstract
The occurrence of unilateral pulmonary oedema in post operative patients is very uncommon (11). It has been described in urological (8) and cardiothoracic surgery (13) but to the best of our knowledge it has not been reported following orthopaedic surgery. Pulmonary oedema can occur due to congestive cardiac failure, its unilateral presentation being rare. We present a patient with pre-existing left ventricular dysfunction who developed unilateral pulmonary oedema (down lung syndrome) as a postoperative complication of total hip replacement in lateral decubitus. The condition was diagnosed retrospectively and managed with a satisfactory clinical outcome. The risk factors, pathophysiology, differential diagnosis and treatment of this uncommon condition are discussed.
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