Left Lung Torsion: Complication of Lobar Resection for an Early Stage Lung Adenocarcinoma
Lobar torsion is a fatal but fortunately rare occurrence following lung resection. Early clinical signs and radiographic features may be nonspecific resulting in diagnostic delay. A high index of suspicion is vital for early diagnosis and intervention to avoid further parenchymal necrosis and deadly...
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Format: | Article |
Language: | English |
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Wiley
2016-01-01
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Series: | Case Reports in Critical Care |
Online Access: | http://dx.doi.org/10.1155/2016/9240636 |
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author | Wissam Mansour Elias Moussaly Ali Abou Yassine John Nabagiez Rabih Maroun |
author_facet | Wissam Mansour Elias Moussaly Ali Abou Yassine John Nabagiez Rabih Maroun |
author_sort | Wissam Mansour |
collection | DOAJ |
description | Lobar torsion is a fatal but fortunately rare occurrence following lung resection. Early clinical signs and radiographic features may be nonspecific resulting in diagnostic delay. A high index of suspicion is vital for early diagnosis and intervention to avoid further parenchymal necrosis and deadly gangrene. We report a case of left lower lobe torsion in a 76-year-old female following elective upper lobectomy for underlying lung adenocarcinoma. Diagnosis was made following highly suggestive radiographic findings prompting bronchoscopy and revision thoracotomy. An emergency detorsion failed to restore lung viability and was followed by completion pneumonectomy. The patient recovered and was discharged on the seventh postoperative day. |
format | Article |
id | doaj-art-8e00d421a1664ae9b08fd50a4d050ce0 |
institution | Kabale University |
issn | 2090-6420 2090-6439 |
language | English |
publishDate | 2016-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Critical Care |
spelling | doaj-art-8e00d421a1664ae9b08fd50a4d050ce02025-02-03T05:53:18ZengWileyCase Reports in Critical Care2090-64202090-64392016-01-01201610.1155/2016/92406369240636Left Lung Torsion: Complication of Lobar Resection for an Early Stage Lung AdenocarcinomaWissam Mansour0Elias Moussaly1Ali Abou Yassine2John Nabagiez3Rabih Maroun4Department of Internal Medicine, Northwell Health Staten Island University Hospital, 475 Seaview Avenue, Staten Island, NY 10305, USADepartment of Internal Medicine, Northwell Health Staten Island University Hospital, 475 Seaview Avenue, Staten Island, NY 10305, USADepartment of Pulmonology and Critical Care Medicine, Northwell Health Staten Island University Hospital, 475 Seaview Avenue, Staten Island, NY 10305, USADepartment of Cardiothoracic Surgery, Northwell Health Staten Island University Hospital, 475 Seaview Avenue, Staten Island, NY 10305, USADepartment of Pulmonology and Critical Care Medicine, Northwell Health Staten Island University Hospital, 475 Seaview Avenue, Staten Island, NY 10305, USALobar torsion is a fatal but fortunately rare occurrence following lung resection. Early clinical signs and radiographic features may be nonspecific resulting in diagnostic delay. A high index of suspicion is vital for early diagnosis and intervention to avoid further parenchymal necrosis and deadly gangrene. We report a case of left lower lobe torsion in a 76-year-old female following elective upper lobectomy for underlying lung adenocarcinoma. Diagnosis was made following highly suggestive radiographic findings prompting bronchoscopy and revision thoracotomy. An emergency detorsion failed to restore lung viability and was followed by completion pneumonectomy. The patient recovered and was discharged on the seventh postoperative day.http://dx.doi.org/10.1155/2016/9240636 |
spellingShingle | Wissam Mansour Elias Moussaly Ali Abou Yassine John Nabagiez Rabih Maroun Left Lung Torsion: Complication of Lobar Resection for an Early Stage Lung Adenocarcinoma Case Reports in Critical Care |
title | Left Lung Torsion: Complication of Lobar Resection for an Early Stage Lung Adenocarcinoma |
title_full | Left Lung Torsion: Complication of Lobar Resection for an Early Stage Lung Adenocarcinoma |
title_fullStr | Left Lung Torsion: Complication of Lobar Resection for an Early Stage Lung Adenocarcinoma |
title_full_unstemmed | Left Lung Torsion: Complication of Lobar Resection for an Early Stage Lung Adenocarcinoma |
title_short | Left Lung Torsion: Complication of Lobar Resection for an Early Stage Lung Adenocarcinoma |
title_sort | left lung torsion complication of lobar resection for an early stage lung adenocarcinoma |
url | http://dx.doi.org/10.1155/2016/9240636 |
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