Hara Daisuke, Hamahiro Tomoka, Maeda Ryo, Ayabe Takanori, Tomita Masaki
Department of Thoracic and Breast Surgery, Faculty of Medicine, University of Miyazaki, Miyazaki, 889-1692, Japan.
J Surg Case Rep. 2021 Jul 19;2021(7):rjab313. doi: 10.1093/jscr/rjab313. eCollection 2021 Jul.
We report a rare case of pulmonary torsion after nonpulmonary thoracotomy. A 38-year-old woman with schizophrenia committed suicide by a self-infliction of sharp force into the chest and abdomen. During emergent abdominal damage control surgery, a left-sided resuscitative thoracostomy was also performed due to hemorrhagic shock. Although abnormal shadow was detected on postoperative chest roentgenogram and computed tomography, the diagnosis of pulmonary torsion was delayed. Seven days after initial surgery, pulmonary torsion was diagnosed and managed by left upper lobectomy. To our knowledge, this is the first report of pulmonary torsion after resuscitative thoracotomy.
我们报告一例非肺部开胸术后罕见的肺扭转病例。一名38岁的精神分裂症女性通过自伤胸腹部锐器自杀。在急诊腹部损伤控制手术期间，由于失血性休克还进行了左侧复苏性开胸术。尽管术后胸部X线片和计算机断层扫描检测到异常阴影，但肺扭转的诊断被延迟。初次手术后7天，诊断为肺扭转并通过左上叶切除术进行治疗。据我们所知，这是复苏性开胸术后肺扭转的首例报告。
