Complete lobar torsion simulating hemorrhagic shock after left upper lobectomy.
Lung torsion is a rare but serious complication after thoracic operations. We describe an unusual case of left lobar torsion after video-assisted thoracoscopic upper lobectomy. The profound symptom was impending hemorrhagic shock, which masqueraded as postoperative bleeding. The differentials between these 2 entities and treatment options for lung torsion are discussed.
Chen
Chang
C
Department of Thoracic Surgery, Tongji University Affiliated Shanghai Pulmonary Hospital, Shanghai, China. changchenc@hotmail.com
Zheng
Hui
H
Duan
Liang
L
Hu
Xue-fei
XF
D000328:Adult; D001987:Bronchiectasis / Q000601:surgery*; D003937:Diagnosis, Differential; D006801:Humans; D008171:Lung Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D008297:Male; D011013:Pneumonectomy / Q000009:adverse effects* / Q000379:methods; D019106:Postoperative Hemorrhage / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D054060:Pulmonary Infarction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D011859:Radiography; D012086:Reoperation; D012771:Shock, Hemorrhagic / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D020775:Thoracic Surgery, Video-Assisted / Q000009:adverse effects*; D013908:Thoracotomy; D014102:Torsion Abnormality / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D016896:Treatment Outcome