An Unusual Case of Lung Torsion

Fogarty, John P.; Dudek, Gary

doi:10.1378/chest.108.2.575

Cited by 17 publications

(6 citation statements)

References 15 publications

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“…It is principally encountered following a lobectomy (1). It has also been reported after a transthoracic needle aspiration, in association with pneumonia, pleural effusions, abdominal surgery, traumatic pneumothorax, and a diaphragmatic hernia (1–3). Three other reports detail torsion seen following lung transplantation.…”

Section: Discussionmentioning

confidence: 95%

“…Lobar torsion is an uncommon surgical complication of anatomic pulmonary resection (1). It has also been reported following a pneumothorax, an open lung biopsy, an abdominal surgery, and in association with a diaphragmatic hernia (1–3). Reports of lung transplant recipients developing this complication are emerging in the literature, and these patients may be at higher risk (4–6).…”

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confidence: 99%

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Lobar Torsion After Lung Transplantation—A Case Report and Review of the Literature

et al. 2009

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Lobar torsion is a rare complication following lung transplantation. Early detection and immediate therapeutic intervention can lead to a favorable outcome. We report an unusual case of left lingular torsion following single lung transplantation performed for idiopathic pulmonary fibrosis. The patient experienced severe ventilatory compromise immediately after leaving the operating room, and a chest X-ray revealed a well-demarcated area of consolidation involving the left mid- and lower lung zones. Lingular torsion was promptly diagnosed and corrected surgically. The possibility of acute lobar torsion should be considered in lung transplant recipients who experience acute respiratory compromise in the early postoperative period. Early diagnosis and correction can avoid pulmonary infarction and the need for lobar resection.

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Section: Discussionmentioning

confidence: 95%

mentioning

confidence: 99%

Lobar Torsion After Lung Transplantation—A Case Report and Review of the Literature

et al. 2009

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“…CT is the best single diagnostic test for lung lobe torsion [ 6 ]. CT enabled prompt diagnosis of lung torsion in our case.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous torsion of the right upper lung lobe: a case report

Kita

Nii

et al. 2017

surg case rep

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BackgroundPulmonary torsion is usually caused by thoracic surgery or trauma. Spontaneous pulmonary torsion caused by tumor and pleural effusion is very rare.Case presentationA 76-year-old Asian male with a chronic cough and suspected lung or pleural tumor presented with sudden dyspnea. Computed tomography showed that the right upper lung lobe contained a large tumor in the region of S1-3; the tumor had shifted to the posterior thoracic space and rotated 90° counterclockwise, potentially impeding blood flow. The patient underwent emergency right upper lobectomy for torsion of the right upper lung lobe. He recovered uneventfully and was discharged without complications.ConclusionsWe experienced a rare case of spontaneous torsion of the right upper lung lobe caused by a large tumor and massive pleural effusion.

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“…Contrast-enhanced CT and bronchoscopy are useful for identifying pulmonary torsion. CT reveals an altered relationship between the trachea and the pulmonary arteries, and a change in the anatomical position of the lung [8]. Bronchoscopy has been reported to reveal flexure, twisting or obstruction [6].…”

Section: Discussionmentioning

confidence: 99%