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Pulmonary torsion after resuscitative thoracotomy: a case report

Daisuke Hara1, Tomoka Hamahiro1, Ryo Maeda1

  • 1Department of Thoracic and Breast Surgery, Faculty of Medicine, University of Miyazaki, Miyazaki, 889-1692, Japan.

Journal of Surgical Case Reports
|July 22, 2021
PubMed

We report a rare case of pulmonary torsion after nonpulmonary thoracotomy. A 38-year-old woman with schizophrenia committed suicide by a self-infliction of sharp force into the chest and abdomen. During emergent abdominal damage control surgery, a left-sided resuscitative thoracostomy was also performed due to hemorrhagic shock. Although abnormal shadow was detected on postoperative chest roentgenogram and computed tomography, the diagnosis of pulmonary torsion was delayed. Seven days after initial surgery, pulmonary torsion was diagnosed and managed by left upper lobectomy. To our knowledge, this is the first report of pulmonary torsion after resuscitative thoracotomy.

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