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Surgical Case Reports

, 3:37

First Online: 22 February 2017Received: 15 December 2016Accepted: 21 February 2017

Abstract

BackgroundPulmonary torsion is usually caused by thoracic surgery or trauma. Spontaneous pulmonary torsion caused by tumor and pleural effusion is very rare.

Case presentationA 76-year-old Asian male with a chronic cough and suspected lung or pleural tumor presented with sudden dyspnea. Computed tomography showed that the right upper lung lobe contained a large tumor in the region of S1-3; the tumor had shifted to the posterior thoracic space and rotated 90° counterclockwise, potentially impeding blood flow. The patient underwent emergency right upper lobectomy for torsion of the right upper lung lobe. He recovered uneventfully and was discharged without complications.

ConclusionsWe experienced a rare case of spontaneous torsion of the right upper lung lobe caused by a large tumor and massive pleural effusion.

KeywordsSpontaneous torsion Lung cancer Pleural effusion Emergency lobectomy AbbreviationsCTComputed tomography

RLLRight lower lobe

RMLRight middle lobe

RULRight upper lobe

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Author: Yusuke Kita - Tetsuhiko Go - Kazuhito Nii - Natsumi Matsuura - Hiroyasu Yokomise

Source: https://link.springer.com/article/10.1186/s40792-017-0313-3



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