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Middle Lobe Torsion after Unilateral Lung Transplant
Chad S Cox1, Summer J Decker1, Mark Rolfe2
1Department of Radiology, University of South Florida Morsani College of Medicine, Tampa, USA.
Journal of Radiology Case Reports
|October 21, 2016
Summary
Lobar torsion is a rare complication after lung transplant. Early CT scan diagnosis is crucial for successful lung detorsion and avoiding lobectomy.
Area of Science:
- Cardiothoracic Surgery
- Transplant Surgery
- Diagnostic Imaging
Background:
- Lobar torsion is a known complication following pneumonectomy.
- It is exceptionally rare in lung transplant recipients.
Observation:
- This case represents the twelfth reported instance of lobar torsion post-lung transplant.
- Initial bronchoscopies and chest radiographs were inconclusive in diagnosing the condition.
- Computed tomography (CT) scan definitively revealed right middle lobe torsion.
Findings:
- The study reviews the epidemiology, clinical presentation, and imaging characteristics of lobar torsion in lung transplant patients.
- It highlights the diagnostic challenges when initial imaging is inconclusive.
Implications:
- Prompt CT scanning is recommended when lobar torsion is suspected and initial tests are inconclusive.
- Early recognition and intervention can improve the chances of successful lung detorsion.
- Timely diagnosis may prevent the need for lobectomy, preserving lung function.
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