title: Spontaneous whole-lung torsion after massive pleural effusion and atelectasis.
abstract: We present a case of whole-lung torsion after massive pleural effusion and atelectasis. A 79-year-old woman with a history of recent pneumonia and pleurisy presented to our hospital and complained of left leg edema and pain that was considered to be vasculitis. A sagittal computed tomography (CT) scan showed that her whole right lung had a 120-degree counterclockwise torsion toward the hilum. We obtained and compared a CT image from the previous doctor. By comparing the CT scans, we determined that lung torsion had progressed gradually. To our knowledge, this is the first report that confirms the progress of whole-lung torsion with CT images.
authors.affiliation: Department of Thoracic Surgery, Kurashiki Central Hospital, Okayama, Japan. Electronic address: masa_irie@hotmail.com.
authors.forename: Masahiro
authors.initials: M
authors.lastname: Irie
authors.affiliation: Department of Thoracic Surgery, Kurashiki Central Hospital, Okayama, Japan.
authors.forename: Norihito
authors.initials: N
authors.lastname: Okumura
authors.affiliation: Department of Thoracic Surgery, Kurashiki Central Hospital, Okayama, Japan.
authors.forename: Jun
authors.initials: J
authors.lastname: Nakano
authors.affiliation: Department of Thoracic Surgery, Kurashiki Central Hospital, Okayama, Japan.
authors.forename: Atsushi
authors.initials: A
authors.lastname: Fujiwara
authors.affiliation: Department of Thoracic Surgery, Kurashiki Central Hospital, Okayama, Japan.
authors.forename: Misa
authors.initials: M
authors.lastname: Noguchi
authors.affiliation: Department of Thoracic Surgery, Kurashiki Central Hospital, Okayama, Japan.
authors.forename: Hidenao
authors.initials: H
authors.lastname: Kayawake
authors.affiliation: Department of Thoracic Surgery, Kurashiki Central Hospital, Okayama, Japan.
authors.forename: Akihiko
authors.initials: A
authors.lastname: Yamashina
authors.affiliation: Department of Thoracic Surgery, Kurashiki Central Hospital, Okayama, Japan.
authors.forename: Tomoaki
authors.initials: T
authors.lastname: Matsuoka
authors.affiliation: Department of Thoracic Surgery, Kurashiki Central Hospital, Okayama, Japan.
authors.forename: Kotaro
authors.initials: K
authors.lastname: Kameyama
mesh_terms: D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging* / Q000503:physiopathology / Q000601:surgery; D010996:Pleural Effusion / Q000150:complications* / Q000000981:diagnostic imaging; D001261:Pulmonary Atelectasis / Q000150:complications* / Q000000981:diagnostic imaging; D035583:Rare Diseases; D018570:Risk Assessment; D012720:Severity of Illness Index; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods; D014057:Tomography, X-Ray Computed / Q000379:methods; D014102:Torsion Abnormality / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D016896:Treatment Outcome
keywords: 11