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A very rare case of the right middle lobe torsion postlower lobectomy due to chronic lung abscess.

作者信息

Alkadrou Abdulkarim M, Saleh Waleed N, Alzamel Huda M, Ahmed Abdelrahman A

机构信息

Department of Surgery, Dr. Sulaiman Al-Habib Medical Group, Riyadh, Saudi Arabia.

Department of Surgery, Division of Thoracic Surgery, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.

出版信息

Ann Thorac Med. 2024 Jul-Sep;19(3):240-243. doi: 10.4103/atm.atm_292_23. Epub 2024 Jul 4.

DOI:10.4103/atm.atm_292_23
PMID:39144538
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11321531/
Abstract

Middle lobe torsion (MLT) is an unusual complication in lung surgery that is usually associated with upper lobe lobectomy and rarely develops postlower lobectomy. In the case of MLT, urgent surgical intervention is required to decrease the risk of mortality and morbidity, and diagnosis is challenging due to the nonspecific symptoms of MLT. In this article, we present a case of a recurring lung abscess treated by the right lower lobectomy, complicated by the right MLT and to our knowledge MLT consider rarest complication postright lower lobectomy.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fb7/11321531/bf5196423c25/ATM-19-240-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fb7/11321531/1692a91f41bd/ATM-19-240-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fb7/11321531/11af12299a4a/ATM-19-240-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fb7/11321531/cce37b1d885e/ATM-19-240-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fb7/11321531/feb9dd235fbb/ATM-19-240-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fb7/11321531/36e501477444/ATM-19-240-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fb7/11321531/bf5196423c25/ATM-19-240-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fb7/11321531/1692a91f41bd/ATM-19-240-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fb7/11321531/11af12299a4a/ATM-19-240-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fb7/11321531/cce37b1d885e/ATM-19-240-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fb7/11321531/feb9dd235fbb/ATM-19-240-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fb7/11321531/36e501477444/ATM-19-240-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fb7/11321531/bf5196423c25/ATM-19-240-g006.jpg

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本文引用的文献

1
Successful video-assisted thoracoscopic management of the right middle lobe torsion: A rare complication of right upper lobectomy - A report of two cases.电视辅助胸腔镜成功治疗右中叶扭转:右上叶切除术后的罕见并发症——两例报告
Lung India. 2020 Nov-Dec;37(6):530-532. doi: 10.4103/lungindia.lungindia_254_19.
2
Pulmonary lobar torsion: a rare complication following pulmonary resection, but one not to miss.肺叶扭转:肺切除术后一种罕见但不可漏诊的并发症。
BJR Case Rep. 2016 Jul 1;3(1):20160010. doi: 10.1259/bjrcr.20160010. eCollection 2017.
3
Predictors of survival in lung torsion: A systematic review and pooled analysis.
肺扭转生存的预测因素:系统评价和汇总分析。
J Thorac Cardiovasc Surg. 2016 Sep;152(3):737-745.e3. doi: 10.1016/j.jtcvs.2016.03.077. Epub 2016 Apr 13.
4
Prevention of middle lobe torsion after right upper lobectomy with a polymeric sealant.
J Thorac Cardiovasc Surg. 2012 Jan;143(1):240-1. doi: 10.1016/j.jtcvs.2011.06.033. Epub 2011 Jul 27.
5
Lobar torsion after pulmonary resection: presentation and outcome.肺切除术后肺叶扭转:临床表现与预后
J Thorac Cardiovasc Surg. 2001 Dec;122(6):1091-3. doi: 10.1067/mtc.2001.117839.
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Lung torsion: radiographic findings in nine cases.
Radiology. 1987 Mar;162(3):631-8. doi: 10.1148/radiology.162.3.3809475.
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Lung torsion: case report and literature review.
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