Right middle lobe torsion after right upper lobectomy despite pneumopexy in an adult: a case report and review of the literature.

ABSTRACT:

Background

Right middle lobe (RML) torsion is the most common form of lobar torsion. It usually happens after right upper lobe (RUL) lobectomy, especially when pneumopexy is not performed. Although various surgical techniques have been introduced to prevent RML torsion, the efficacy of these techniques is not yet fully understood. We herein report a case of RML torsion that happened after RUL lobectomy despite pneumopexy together with a literature review.

Case presentation

A 62-year-old female patient underwent RUL lobectomy due to adenocarcinoma of the lung. Prophylactic pneumopexy with a single stitch was performed to fix RML to the right lower lobe. RML was well inflated and did not rotate before wound closure was performed. However, the patient complained of foreign body

SUBMITTER: Hsiao CH 

PROVIDER: S-EPMC11816524 | biostudies-literature | 2025 Feb

REPOSITORIES: biostudies-literature