- 期刊
Torsion of Right Middle Lobe after Pulmonary Resection: Report of a Case
肺葉切除後右中肺葉扭轉：病例報告
摘要
肺部肺葉切除後引起的肺葉扭轉是非常少見的併發症。我們報告一例因肺腺癌切除右上肺葉而引起右中葉扭轉的病例。 一位六十歲女性因肺癌住院切除右上肺葉，手術過程順利。手術後第一天胸部X光發現右上縱膈旁有一圓型的陰影，電腦斷層掃描檢查發現擴張不全的右中葉。右中葉扭轉的診斷確立，病患接受立即開胸手術。手術中發現右中葉扭轉且壞死，不得不將右中葉切除。第二次手術順利且病人安然出院。 對於右中葉扭轉，術後的胸部X光及電腦斷層掃描非常重要。要牢記併發症之可能性並早期診斷及立即處理才能避免死亡及併發症。
關鍵字
無資料並列摘要
Lobar torsion is a rare complication after pulmonary resection. We report a case of such a complication after right upper lobe resection for adenocarcinoma of the lung. A 60-year-old female patient underwent a right upper lobe lobectomy for her pulmonary malignancy. On postoperative day 1, a chest radiograph (CXR) revealed an abnormal rounded opacity in the right upper lung field. Chest computed tomography (CT scan) disclosed an atelectatic right middle lobe. Torsion of the right middle lobe was suspected. Immediately, the patient underwent a re-thoracotomy. Right middle lobe torsion was found. Reduction was tried, but failed. A right middle lobe lobectomy was therefore performed. The postoperative course was unremarkable and the patient was discharged without further problems. Both the postoperative CXR and chest CT scan are very important for the diagnosis of lobar torsion. For right middle lobe torsion, early diagnosis and prompt management with lobar resection is crucial to avoid mortality and morbidity.
延伸閱讀
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