Recognizing and Managing Post-Lobectomy Lung Torsion: A Critical Case Report

Area of Science:

• Thoracic Surgery
• Pulmonary Medicine
• Surgical Complications

Background:

• Lung torsion is an uncommon but recognized complication following lung lobectomy.
• This case report details a patient experiencing left lower lobe torsion post-left upper lobe resection.

Purpose of the Study:

• To report a rare case of lung torsion following lobectomy.
• To emphasize the importance of prompt diagnosis and management of this potentially life-threatening condition.

Main Methods:

• Case report of a 63-year-old female patient.
• Utilized contrast-enhanced chest computed tomography (CT) and bedside electronic bronchoscopy for diagnosis.
• Emergency surgical intervention was performed.

Main Results:

• Patient developed progressive chest pain and symptoms suggestive of torsion post-lobectomy.
• CT revealed left lower lobe ground-glass attenuation, bronchial obstruction, and pulmonary artery twist.
• Bronchoscopy confirmed bronchial narrowing; intraoperative findings showed 180° counterclockwise torsion.
• Emergency left lower lobectomy was successfully performed.

Conclusions:

• Postoperative imaging is critical for identifying rare complications like lung torsion.
• Left lower lobe torsion, though rare, necessitates emergency surgical intervention for favorable outcomes.
• Early recognition and prompt surgical management are key to treating this severe complication.