Complete lobar torsion simulating hemorrhagic shock after left upper lobectomy

Asian Cardiovasc Thorac Ann. 2009 Apr;17(2):191-3. doi: 10.1177/0218492309103313.

Abstract

Lung torsion is a rare but serious complication after thoracic operations. We describe an unusual case of left lobar torsion after video-assisted thoracoscopic upper lobectomy. The profound symptom was impending hemorrhagic shock, which masqueraded as postoperative bleeding. The differentials between these 2 entities and treatment options for lung torsion are discussed.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Bronchiectasis / surgery*
  • Diagnosis, Differential
  • Humans
  • Lung Diseases / diagnostic imaging
  • Lung Diseases / etiology*
  • Lung Diseases / surgery
  • Male
  • Pneumonectomy / adverse effects*
  • Pneumonectomy / methods
  • Postoperative Hemorrhage / diagnosis*
  • Postoperative Hemorrhage / diagnostic imaging
  • Postoperative Hemorrhage / surgery
  • Pulmonary Infarction / diagnostic imaging
  • Pulmonary Infarction / etiology*
  • Pulmonary Infarction / surgery
  • Radiography
  • Reoperation
  • Shock, Hemorrhagic / diagnostic imaging
  • Shock, Hemorrhagic / etiology*
  • Shock, Hemorrhagic / surgery
  • Thoracic Surgery, Video-Assisted / adverse effects*
  • Thoracotomy
  • Torsion Abnormality / diagnostic imaging
  • Torsion Abnormality / etiology*
  • Torsion Abnormality / surgery
  • Treatment Outcome