Left Lung Torsion: Complication of Lobar Resection for an Early Stage Lung Adenocarcinoma.
Lobar torsion is a fatal but fortunately rare occurrence following lung resection. Early clinical signs and radiographic features may be nonspecific resulting in diagnostic delay. A high index of suspicion is vital for early diagnosis and intervention to avoid further parenchymal necrosis and deadly gangrene. We report a case of left lower lobe torsion in a 76-year-old female following elective upper lobectomy for underlying lung adenocarcinoma. Diagnosis was made following highly suggestive radiographic findings prompting bronchoscopy and revision thoracotomy. An emergency detorsion failed to restore lung viability and was followed by completion pneumonectomy. The patient recovered and was discharged on the seventh postoperative day.
Department of Internal Medicine, Northwell Health Staten Island University Hospital, 475 Seaview Avenue, Staten Island, NY 10305, USA.
Wissam
0000-0002-8015-0628
W
Mansour
Department of Internal Medicine, Northwell Health Staten Island University Hospital, 475 Seaview Avenue, Staten Island, NY 10305, USA.
Elias
E
Moussaly
Department of Pulmonology and Critical Care Medicine, Northwell Health Staten Island University Hospital, 475 Seaview Avenue, Staten Island, NY 10305, USA.
Ali
A
Abou Yassine
Department of Cardiothoracic Surgery, Northwell Health Staten Island University Hospital, 475 Seaview Avenue, Staten Island, NY 10305, USA.
John
0000-0003-2256-0415
J
Nabagiez
Department of Pulmonology and Critical Care Medicine, Northwell Health Staten Island University Hospital, 475 Seaview Avenue, Staten Island, NY 10305, USA.
Rabih
0000-0002-4407-5448
R
Maroun