Spontaneous torsion of the right upper lung lobe: a case report.

Surg Case Rep

Department of General Thoracic, Breast and Endocrinological Surgery, Kagawa University Hospital, 1750-1 Ikenobe, Miki-cho, Kida-gun, Kagawa, 761-0793, Japan.

Published: December 2017

Background: Pulmonary torsion is usually caused by thoracic surgery or trauma. Spontaneous pulmonary torsion caused by tumor and pleural effusion is very rare.

Case Presentation: A 76-year-old Asian male with a chronic cough and suspected lung or pleural tumor presented with sudden dyspnea. Computed tomography showed that the right upper lung lobe contained a large tumor in the region of S1-3; the tumor had shifted to the posterior thoracic space and rotated 90° counterclockwise, potentially impeding blood flow. The patient underwent emergency right upper lobectomy for torsion of the right upper lung lobe. He recovered uneventfully and was discharged without complications.

Conclusions: We experienced a rare case of spontaneous torsion of the right upper lung lobe caused by a large tumor and massive pleural effusion.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5321643PMC
http://dx.doi.org/10.1186/s40792-017-0313-3DOI Listing

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