Document Detail


Postoperative pulmonary torsion: report of a case and survey of the literature including spontaneous and posttraumatic torsion.
MedLine Citation:
PMID:  8016826     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A case of postoperative torsion of the left upper lobe following thoracotomy for removal of a large mediastinal tumor is presented. Diagnosis was made on the sixth postoperative day by axial computerized tomography. At rethoracotomy the upper lobe, well delimited against the lower lobe by deep fissure, was found to be twisted by 180 degrees in clock-wise direction. It was hemorrhagically infarcted and had to be resected. The patient, a 37-year-old woman, made an uneventful recovery thereafter. In a recent epidemiological study in the United Kingdom it could be shown that postoperative torsion occurs more frequently than hitherto presumed. 35 of 117 thoracic surgeons responding to a questionnaire had observed this complication 36 times. In reviewing the literature for welldocumented cases, four cases of spontaneous, five of posttraumatic, and 17 cases of postoperative pulmonary torsion were found. Of these cases and the case reported 12 torsions occurred after partial lung resection and six following other thoracic operations. Especially the right middle lobe is endangered after upper lobectomy and should be fixed to the lower lobe during surgery. The outcome was fatal in 4 of the 18 cases. Prevention and treatment are discussed.
Authors:
M Schamaun
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  The Thoracic and cardiovascular surgeon     Volume:  42     ISSN:  0171-6425     ISO Abbreviation:  Thorac Cardiovasc Surg     Publication Date:  1994 Apr 
Date Detail:
Created Date:  1994-07-27     Completed Date:  1994-07-27     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7903387     Medline TA:  Thorac Cardiovasc Surg     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  116-21     Citation Subset:  IM    
Affiliation:
Department of Thoracic and Vascular Surgery, Triemly City Hospital, Zürich, Switzerland.
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Hemangiopericytoma / surgery*
Hemorrhage / radiography,  surgery
Humans
Infarction / radiography,  surgery
Lung / blood supply
Lung Diseases / radiography*,  surgery
Mediastinal Neoplasms / surgery*
Pneumonectomy
Postoperative Complications / radiography*,  surgery
Reoperation
Tomography, X-Ray Computed
Torsion Abnormality

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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