Spontaneous right whole-lung torsion secondary to bronchial carcinoma: a case report.

Chrysou, Konstantina; Gioutsos, Konstantinos; Filips, Alexandra; Schmid, Roger; Schmid, Ralph; Kocher, Gregor (2016). Spontaneous right whole-lung torsion secondary to bronchial carcinoma: a case report. Journal of cardiothoracic surgery, 11(107), p. 107. Biomed Central 10.1186/s13019-016-0506-z

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BACKGROUND Spontaneous whole lung torsion is an absolut rarity and most cases occur after previous surgery. CASE PRESENTATION We present the case of a spontaneous whole-lung torsion in a 82-year old man. The patient was referred to our thoracic surgery department from the emergency department of a referring hospital with rapidly progressive dyspnea. CT-scan revealed a 180° degree counterclockwise torsion of the entire right lung with complete atelectasis and congestion of the upper lobe as well as pleural effusion. Thoracoscopy confirmed lung torsion and revealed hemorrhagic infarction of the upper lobe. Subsequently thoracotomy and upper lobectomy were performed. Most likely the lung torsion occurred due to a combination of pleural effusion and venous congestion with complete atelectasis of the upper lobe as a result of adenocarcinoma of the upper lobe. CONCLUSIONS To our knowledge this is the first reported case of a patient presenting with lung torsion as the first symptom of lung cancer. When lung torsion is suspected rapid diagnosis is crucial in order to prevent hemorrhagic lung infarction.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > Clinic of Intensive Care
04 Faculty of Medicine > Department of General Internal Medicine (DAIM) > Clinic of General Internal Medicine
04 Faculty of Medicine > Pre-clinic Human Medicine > BioMedical Research (DBMR) > Forschungsbereich Mu50 > Forschungsgruppe Thoraxchirurgie
04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Thoracic Surgery

UniBE Contributor:

Chrysou, Konstantina; Gioutsos, Konstantinos; Schmid, Ralph and Kocher, Gregor

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1749-8090

Publisher:

Biomed Central

Language:

English

Submitter:

Thomas Michael Marti

Date Deposited:

25 Jan 2017 08:47

Last Modified:

04 Oct 2017 16:40

Publisher DOI:

10.1186/s13019-016-0506-z

PubMed ID:

27417315

Uncontrolled Keywords:

Bronchial carcinoma; Case report; Lobectomy; Pulmonary torsion; Spontaneous lung torsion; Whole lung torsion

BORIS DOI:

10.7892/boris.93757

URI:

https://boris.unibe.ch/id/eprint/93757

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