title: Lung torsion after tracheoesophageal fistula repair in an infant.
abstract: Lung torsion is a very rare event that has been reported in only 9 cases in the pediatric literature but has not yet been reported in Korean infants. We present a case of lung torsion after tracheoesophageal fistula repair in an infant. Bloody secretion from the endotracheal tube and chest radiographs and computed tomographic scan results indicated lung torsion. Emergency exploration indicated 180° torsion of the right upper lobe (RUL) and right middle lobe (RML). After detorsion of both lobes, some improvement in the RUL color was observed, but the color change in the RML could not be determined. Although viability of the RML could not be proven, pexy was performed for both the lobes. Despite reoperation, clinical signs and symptoms did not improve. The bronchoscopy revealed a patent airway in the RUL but not in the RML. Finally, the RML was surgically removed. The patient was discharged on the 42nd day after birth.
authors: Department of Pediatrics, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, Korea.
authors: Eun Mi
authors: EM
authors: Yang
authors: Eun Song
authors: ES
authors: Song
authors: Hae
authors: H
authors: In Jang
authors: In Seok
authors: IS
authors: Jeong
authors: Young Youn
authors: YY
authors: Choi
keywords: Complications; Lung; Torsion; Tracheoesophageal fistula
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