AI Article Synopsis
- A 47-year-old woman had surgery to remove part of her lung due to cancer and experienced complications two days later, showing signs that resembled pulmonary torsion.
- An emergency operation revealed that her right middle lobe was damaged but not torsed, leading to its removal.
- The case highlighted a rare issue of impaired blood flow in the lung due to changes in position after surgery, emphasizing the need for quick diagnosis and treatment to prevent serious outcomes.
Article Abstract
A 47-year-old woman underwent elective right upper lobectomy with pneumopexy for adenocarcinoma. On postoperative day 2, she had tachycardia, and her chest radiograph, bronchoscopy, and computed tomography chest scan were suspicious for pulmonary torsion. She underwent emergent thoracotomy, and the right middle lobe was not torsed; it was purple, engorged, and not ventilated. The patient did well after right middle lobectomy. We suspect compromised middle lobe pulmonary venous drainage due to angulation after compensatory expansion. This uncommon phenomenon has not been described previously. High suspicion for pulmonary torsion and treatment led to avoidance of complications such as infection, gangrene, infarction, thromboembolism, and death.
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| http://dx.doi.org/10.1016/j.athoracsur.2016.12.026 | DOI Listing |
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