Lobar torsion after lung transplantation-a case report and review of the literature.
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.
Shakoor
Hasan
H
Department of Pulmonary Diseases, Cleveland Clinic Foundation, Cleveland, OH 44195, USA.
Murthy
Sudish
S
Mason
David
D
Johnston
Douglas
D
Shah
Sonia S
SS
Carrillo
Maria C
MC
Mehta
Atul C
AC
D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D016040:Lung Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology*; D011859:Radiography; D014102:Torsion Abnormality / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology*; D014965:X-Rays