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Middle Lobar Torsion after Upper Lobectomy: A Case Report and Review of the Literature

摘要


Lung torsion is a rare but life-threatening event, with a reported incidence of 0.089% - 0.4%. The first review article on this topic, published in 2016, cited middle lobar torsion after upper lobectomy as the most common scenario. We report a case of postoperative right middle lobar torsion in a 60-year-old man following elective right upper lobectomy for underlying lung adenocarcinoma. A diagnosis based on chest X-ray and bronchoscopy was made on postoperative Day 5. An emergent thoracoscopic detorsion surgery, which was performed immediately after diagnosis, failed to restore lung viability. The patient then underwent middle lobe resection from which he recovered uneventfully. He was discharged on the thirteenth day after re-operation.

關鍵字

lobectomy lung torsion

參考文獻


1. Dai J., Xie D., Wang H., He, W., et al. (2016). Predictors of survival in lung torsion: A systematic review and pooled analysis. The Journal of Thoracic and Cardiovascular Surgery, 152(3).
2. Kim EA, Lee KS, Shim YM et-al. Radiographic and CT findings in complications following pulmonary resection. Radiographics. 2002;22 (1): 67-86.
3. Larsson S, Lepore V, Dernevik L, et al. Torsion of a lung lobe: diagnosis and treatment. Thoracic Cardiovascular Surgery. 1988;36:281-3.
4. Apostolakis E, Koletsis EN, Panagopoulos N, et al. Fatal stroke after completion pneumonectomy for torsion of left upper lobe following left lower lobectomy. J Cardiothorac Surg. 2006;1:25.
5. Takada T, Kuriyama A. Lung torsion. Emerg Med J. 2015;32:14.

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