Unusual freshwater near-drowning syndrome in a hospitalized postlobectomy patient

Near-drowning syndrome depends on the duration of submersion, the amount of fluid aspirated, and the severity of hypoxia. We report a case in which a patient developed ARDS shortly after undergoing a left upper lobectomy and a chest wall resection for a lung carcinoma. On further investigation, the ARDS was caused by near-drowning in a basin of freshwater: the patient's fa ce was submerged by the patient's companion as part of a cultural tradition of trying to clean his lung. We believe that this case presents the etiolo gy of freshwater near-drowning syndrome due to an ethnogenic practice not p reviously reported.