Torsion of a Lobe of the Lung Due to Blunt Thoracic Trauma

Lung torsion after tracheoesophageal fistula repair: a case report and review of literature

“…Lung torsion is a rare condition; only 8 case reports are presented in the current pediatric literature [1][2][3][4][5][6][7]. This is the first case of lung torsion associated with EA/TEF repair in a neonate.…”

“…The clinical findings can be seemingly inconspicuous. Pediatric patients presenting with symptoms including fever, tachycardia, tachypnea, elevated white blood count, dullness to percussion and reduced breath sounds on examination, malaise, or reduced movements, should raise the suspicion for lung torsion [4,5,10,13]. The arterial blood gas analysis and oxygen saturation are usually normal, secondary to complete shunting of blood from the twisted lobe or segments [14,15].…”

“…Hence, workup for lung torsion should start with a chest radiograph [8,12,13,[16][17][18]. Once suspected, based on plain radiographs and clinical history, a chest CT scan should be performed [2,3,5,8,12,13,16,17,19]. Spizarny et al [20] and Gilkeson et al [21] described CT findings of lung torsion as bronchial obstruction or distortion and abnormal arterial and venous relationships in the torsive lung or lobe.…”

“…In children, the incidence is considerably lower than in adults, with only 8 cases reported in the pediatric literature (Table 1) [1][2][3][4][5][6][7]. We report a unique case of lung torsion after tracheoesophageal fistula (TEF) repair in a small-forgestational-age newborn who underwent detorsion and pexy without lobectomy as surgical treatment.…”

Pulmonary torsion after cardiac surgery in two infants: Review of pediatric literature

“…Little more than 80 cases have been reported in adults 7-23 and only 9 in the pediatric age group, 5 in children and 4 in infants (Table 1). [1][2][3][4][5][6] Unfortunately, 3 affected children after operation for congenital heart disease, 22 could not be included in the current discussion because of lack of clinical details.…”