Ohde Yasuhisa, Nakagawa Kazuo, Okumura Takehiro, Kondo Haruhiko
Division of Thoracic Surgery, Shizuoka Cancer Center, 1007 Shimonagakubo, Nagaizumi-cho, Sunto-gun, Shizuoka, 411-8777, Japan.
Interact Cardiovasc Thorac Surg. 2005 Feb;4(1):59-60. doi: 10.1510/icvts.2004.096594. Epub 2005 Jan 7.
We present a case of pulmonary lobar torsion secondary to pseudo-Meigs syndrome. A 45-year-old woman with colonic cancer and metastatic ovarian cancer was suffering from dyspnea. CT scan showed massive pleural effusion, air trapping and twisted bronchus of the middle lobe. At thoracotomy, the middle lobe was torqued at 180 degrees around its bronchovascular pedicle in a counterclockwise direction. The infarcted middle lobe was resected. The pleural effusion had never recurred after resection of the metastatic ovary. This is the first report of spontaneous pulmonary torsion caused by massive pleural effusion secondary to pseudo-Meigs syndrome.
我们报告一例继发于假性梅格斯综合征的肺叶扭转病例。一名45岁患有结肠癌和转移性卵巢癌的女性出现呼吸困难。CT扫描显示大量胸腔积液、空气潴留以及中叶支气管扭曲。开胸手术时，中叶围绕其支气管血管蒂逆时针扭转180度。切除梗死的中叶。切除转移性卵巢后胸腔积液未再复发。这是首例关于假性梅格斯综合征继发大量胸腔积液导致自发性肺扭转的报道。
