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Case Reports in Critical Care
Volume 2016 (2016), Article ID 9240636, 3 pages
http://dx.doi.org/10.1155/2016/9240636
Case Report

Left Lung Torsion: Complication of Lobar Resection for an Early Stage Lung Adenocarcinoma

1Department of Internal Medicine, Northwell Health Staten Island University Hospital, 475 Seaview Avenue, Staten Island, NY 10305, USA
2Department of Pulmonology and Critical Care Medicine, Northwell Health Staten Island University Hospital, 475 Seaview Avenue, Staten Island, NY 10305, USA
3Department of Cardiothoracic Surgery, Northwell Health Staten Island University Hospital, 475 Seaview Avenue, Staten Island, NY 10305, USA

Received 16 March 2016; Accepted 24 April 2016

Academic Editor: Claudius Diez

Copyright © 2016 Wissam Mansour et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Lobar torsion is a fatal but fortunately rare occurrence following lung resection. Early clinical signs and radiographic features may be nonspecific resulting in diagnostic delay. A high index of suspicion is vital for early diagnosis and intervention to avoid further parenchymal necrosis and deadly gangrene. We report a case of left lower lobe torsion in a 76-year-old female following elective upper lobectomy for underlying lung adenocarcinoma. Diagnosis was made following highly suggestive radiographic findings prompting bronchoscopy and revision thoracotomy. An emergency detorsion failed to restore lung viability and was followed by completion pneumonectomy. The patient recovered and was discharged on the seventh postoperative day.