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Radiologic findings of lung lobe torsion in reconstructed multidetector computed tomography image lead to early detection

  • Sang-Hoon Chung
    Affiliations
    Department of Radiology and Research Institute of Radiological Science, Severance Hospital, Yonsei University Medical Center, 250 Seongsanno (134 Sinchon-dong), Seodaemun-gu, Seoul, South Korea
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  • Ji Eun Nam
    Correspondence
    Corresponding author. 250 Seongsanno (134 Sinchon-dong), Seodaemun-gu, Seoul 120-752, South Korea. Tel.: +82 2 2228 7400; fax: +82 2 393 3035.
    Affiliations
    Department of Radiology and Research Institute of Radiological Science, Severance Hospital, Yonsei University Medical Center, 250 Seongsanno (134 Sinchon-dong), Seodaemun-gu, Seoul, South Korea
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  • Kyu Ok Choe
    Affiliations
    Department of Radiology and Research Institute of Radiological Science, Severance Hospital, Yonsei University Medical Center, 250 Seongsanno (134 Sinchon-dong), Seodaemun-gu, Seoul, South Korea
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  • Byoung Wook Choi
    Affiliations
    Department of Radiology and Research Institute of Radiological Science, Severance Hospital, Yonsei University Medical Center, 250 Seongsanno (134 Sinchon-dong), Seodaemun-gu, Seoul, South Korea
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  • Jin Hur
    Affiliations
    Department of Radiology and Research Institute of Radiological Science, Severance Hospital, Yonsei University Medical Center, 250 Seongsanno (134 Sinchon-dong), Seodaemun-gu, Seoul, South Korea
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  • Hye-Jeong Lee
    Affiliations
    Department of Radiology and Research Institute of Radiological Science, Severance Hospital, Yonsei University Medical Center, 250 Seongsanno (134 Sinchon-dong), Seodaemun-gu, Seoul, South Korea
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  • Hua Sun Kim
    Affiliations
    Department of Radiology and Research Institute of Radiological Science, Severance Hospital, Yonsei University Medical Center, 250 Seongsanno (134 Sinchon-dong), Seodaemun-gu, Seoul, South Korea
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Published:November 09, 2009DOI:https://doi.org/10.1016/j.clinimag.2009.10.035

      Abstract

      Torsion of the remaining lung lobe after lobectomy is a rare complication, and sometimes, diagnosis can be difficult. But early detection is important to prevent resection and fatal complication. We present a case of left lower lobe torsion with reconstructed image of multidetector computed tomography (MDCT) findings, which propose a possibility of early detection on retrospective review after surgical reduction. Multiplanar reconstruction of MDCT image, 3-dimensional CT angiography, and CT bronchography could provide important diagnostic clues.

      Keywords

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      References

        • Oddi MA
        • Traugott RC
        • Will RJ
        • Simmons RA
        • Treasure RL
        • Schuchmann GF
        Unrecognized intraoperative torsion of the lung.
        Surgery. 1981; 89: 390-393
        • Gilkeson RC
        • Lange P
        • Kirby TJ
        Lung torsion after lung transplantation: evaluation with helical CT.
        AJR Am J Roentgenol. 2000; 174: 1341-1343
        • Cable DG
        • Deschamps C
        • Allen MS
        • Miller DL
        • Nichols FC
        • Trastek VF
        • Pairolero PC
        Lobar torsion after pulmonary resection: presentation and outcome.
        J Thorac Cardiovasc Surg. 2001; 122: 1091-1093
        • Wong PS
        • Goldstraw P
        Pulmonary torsion: a questionnaire survey and a survey of the literature.
        Ann Thorac Surg. 1992; 54: 286-288
        • Eguchi T
        • Kato K
        • Shiina T
        • Kondo R
        • Yoshida K
        • Amano J
        Pulmonary torsion of the lingula following a segmentectomy of the left upper division.
        Gen Thorac Cardiovasc Surg. 2008; 56: 505-508
        • Felson B
        Lung torsion: radiographic findings in nine cases.
        Radiology. 1987; 162: 631-638
        • Moser Jr., ES
        • Proto AV
        Lung torsion: case report and literature review.
        Radiology. 1987; 162: 639-643
      1. Schena S, Veeramachaneni NK, Bhalla S, Gutierrez FR, Patterson GA, Kreisel D. Partial lobar torsion secondary to traumatic hemothorax. J Thorac Cardiovasc Surg 2008; 135:208-209, 209 e201-202.

        • Kucich VA
        • Villarreal JR
        • Schwartz DB
        Left upper lobe torsion following lower lobe resection. Early recognition of a rare complication.
        Chest. 1989; 95: 1146-1147
        • Enon S
        • Kumbasar U
        • Kayi Cangir A
        • Atasoy C
        • Kavukcu S
        A new non-invasive diagnostic method for lung lobe torsion: pulmonary CT angiography.
        Tuberk Toraks. 2007; 55: 83-86
        • Shirakusa T
        • Motonaga R
        • Takada S
        • Sakuragi T
        • Dan K
        Lung lobe torsion following lobectomy.
        Am Surg. 1990; 56: 639-642
        • Schamaun M
        Postoperative pulmonary torsion: report of a case and survey of the literature including spontaneous and posttraumatic torsion.
        Thorac Cardiovasc Surg. 1994; 42: 116-121
        • Sticco CC
        • Andaz S
        • Fox S
        Middle lobe torsion after right upper lobectomy: a report of video-assisted thoracoscopic management.
        J Thorac Cardiovasc Surg. 2007; 134: 1090-1091