A new case of pulmonary torsion is reported. Only 15 cases of this rare entity have been published in the literature, all of them either surgically treated short term or resulting in death. Small right-side pneumothorax following diagnostic transthoracic puncture seemed to be the mechanism of production. Because of the absence of acute clinical manifestations, fibroscopy, isotopic perfusion scan ning, and hemodynamic and pulmonary angiographic studies were done. The lack of compromise in the pulmonary flow and venous pulmonary return ex plains the surprisingly good progress (ten months, at present) of the patient.
Get full access to this article
View all access options for this article.
References
1.
Oddi MA, Traugott RC, Will RJ, et al: Unrecognized intraoperative torsion of the lung. Surgery89:390-392, 1981.
2.
Strateimeier EH, Barry JW: Torsion of the lung following thoracic trauma . Radiology62:726-728, 1954.
3.
Ransdell MT, Ellison RG: Volvulus of a lobe of the lung as a complication of diaphragmatic hernia. J Thorac Surg25:341-343, 1953.
4.
Epplen F., Jacobson AF: Twisted pedicle of an accessory lobe of the lung. JAMA94:1135-1137, 1930.
5.
Daughtry AC: Traumatic torsion of the lung. N Engl J Med256:385-387, 1957.
6.
Parks RE: Traumatic torsion of the lung. Radiology67:582-584, 1951.
7.
Selmonosky CA , Fieg JB, Enhrenhaft JL: Torsion of a lobe of the lung due to blunt thoracic trauma. Ann Thorac Surg4:166-168, 1967.
8.
Callejas MA, Mateu M., Freixinet J., et al: Torsion pulmonar de origen traumático. A propósito de un caso . Cirugia de Urgencia3:127-129, 1986.
9.
Chambers RF, Sweeney DF: Grangrenous sequestration of remaining lobe following lobectomy. Ann Thorac Surg5:156-158, 1968.
10.
Kelly MV, Kyger ER, Miller WC: Postoperative lobar torsion and gangrene. Thorax32:501-504, 1977.
11.
Marx FW, Steele JD: Early secondary thoracotomy following pulmonary resection. J Thorac Cardiovasc Surg41:141-143, 1961.
Gorecki Z.: Torsion of the upper lobe of the right lung. Can Med J69:509-512, 1953.
16.
Liebow AA, Hales MR, Bloomer WG, et al: Studies on the lung after ligation of the pulmonary artery. 2. Anatomical changes. Am J Pathol26:177-185, 1950.
17.
Mathes ME, Holman E., Reichert FL: A study of the bronchial, pulmonary, and lymphatic circulations of the lung under various pathologic conditions experimentally produced. J Thorac Surg1:339-342, 1932.
18.
Swan H., Mulligan RM: An experimental study of the effect of ligation of pulmonary veins in the dog. J Thorac Surg17:44-47, 1948.
19.
Dargent M., Bernard M.: La ligature expérimentale de vaisseaux fonctionels du poumon. Lyon Med23:71, 1942.
20.
Ellis FH, Jr, Grindlay JH, Edwards JE: The bronchial arteries, I. experimental occlusion. Surgery30:810, 1951.
21.
Schlaepfer K.: Ligation of the pulmonary artery of one lung with and without resection of the phrenic nerve: experimental study. Arch Surg9:25, 1924.
