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CASE STUDIES

Complete Lobar Torsion Simulating Hemorrhagic Shock After Left Upper Lobectomy

Chang Chen, MD, Hui Zheng, MD1, Liang Duan, MD, Xue-fei Hu, MD

Department of Thoracic Surgery
1 Department of Pathology, Tongji University Affiliated Shanghai Pulmonary Hospital Shanghai, China

Chang Chen, MD, Tel: +86 21 65115006, Ext. 2074, Fax: +86 21 65111298, Email: changchenc{at}hotmail.com, Zhengmin Rd. 507, Shanghai 200433, China.

Lung torsion is a rare but serious complication after thoracic operations. We describe an unusual case of left lobar torsion after video-assisted thoracoscopic upper lobectomy. The profound symptom was impending hemorrhagic shock, which masqueraded as postoperative bleeding. The differentials between these 2 entities and treatment options for lung torsion are discussed.

Key Words: Acute Lung Injury • Pneumonectomy • Postoperative complications • Pulmonary infarction

Asian Cardiovasc Thorac Ann 2009; 17:191-193
© 2009 by SAGE Publications
DOI: 10.1177/0218492309103313




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