Abstract
We report a first case of 180° left upper lobe lung torsion followed by a 90° lobar torsion in the same lobe after a left lower lobectomy.
Highlights
Lung torsion is a rare but potentially lethal complication with an incident rate of approximately 0.1% [1]
We report a first case of 180 ̊ left upper lobe lung torsion followed by a 90 ̊ lobar torsion in the same lobe after a left lower lobectomy
A 70% chance of lung torsion occurs after right upper lobectomy and only 15% of the time after left upper lobectomy
Summary
Lung torsion is a rare but potentially lethal complication with an incident rate of approximately 0.1% [1]. We decided that the lingular branch of the pulmonary artery should be divided, followed by division of the ongoing interlobar of the left lower lobe. The patient’s postoperative course was initially unremarkable, except for a large air leak She had a postoperative chest radiograph revealing an expanded left upper lobe with chest tubes in place (Figure 2). On postoperative day 3, we removed her basal chest tube, after which she developed sinus tachycardia and a sudden cessation of the air leak. A chest radiograph showed volume loss on the left, as well as whiteout lung and new left sided effusion (Figure 3). Her leukocyte count was raised to 16 and her hemoglobin dropped from 9 g/dL to 6 g/dL. The patient did well and was discharged after 10 days without any complications
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