title: A new non-invasive diagnostic method for lung lobe torsion: pulmonary CT angiography.
abstract: Torsion of the remaining lung lobe after lobectomy is an uncommon event which is difficult to diagnose and may result in hemorrhagic infarction and fatal gangrene. We report a case of right upper lobe torsion after middle lobe resection for bronchiectasis, diagnosed with noninvasive pulmonary computerized tomography (CT) angiography. Rethoracotomy with an upper lobectomy was performed. She was asymptomatic at the two-year follow-up. Although the bronchoscopy has a great value in the diagnosis, CT angiography is an effective noninvasive method for confirming the correct diagnosis. A high index of clinical suspicion, early diagnosis and aggressive management may improve survival.
authors.affiliation: Department of Thoracic Surgery, Ankara University, Ankara, Turkey. enon@medicine.ankara.edu.tr
authors.forename: Serkan
authors.initials: S
authors.lastname: Enön
authors.forename: Ulaş
authors.initials: U
authors.lastname: Kumbasar
authors.forename: Ayten
authors.initials: A
authors.lastname: Kayi Cangir
authors.forename: Cetin
authors.initials: C
authors.lastname: Atasoy
authors.forename: Sevket
authors.initials: S
authors.lastname: Kavukçu
mesh_terms: D000328:Adult; D000792:Angiography; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008171:Lung Diseases / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D014102:Torsion Abnormality / Q000473:pathology