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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Main Authors: Wissam Mansour, Elias Moussaly, Ali Abou Yassine, John Nabagiez, Rabih Maroun
Format: Article
Language:English
Published: Wiley 2016-01-01
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.
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institution Kabale University
issn 2090-6420
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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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AT aliabouyassine leftlungtorsioncomplicationoflobarresectionforanearlystagelungadenocarcinoma
AT johnnabagiez leftlungtorsioncomplicationoflobarresectionforanearlystagelungadenocarcinoma
AT rabihmaroun leftlungtorsioncomplicationoflobarresectionforanearlystagelungadenocarcinoma