Computed tomography detection of stapled interlobar fissure facilitates diagnosing postoperative lobar torsion: A case report.

ABSTRACT:

Introduction

Atelectasis of the right middle lobe following right upper lobectomy may result from lobar torsion, bronchial kink, or impacted mucus plug. Although clinical consequence of lobar torsion could be serious, differentiating it from bronchial kink is occasionally challenging.

Presentation of case

A 39-year old man with non-small cell lung cancer of cT1aN0M0 stage IA underwent right upper lobectomy. On postoperative day 1, we identified middle lobe atelectasis on the chest X-ray and performed bronchoscopy, which showed an obstruction of the right middle lobe bronchus without mucoid impaction. We injected air using a bronchoscope to the middle lobe, which re-expanded it. However, on postoperative day 2, chest X-ray showed a slightly collapsed and opacified middle lobe

SUBMITTER: Yanagihara T 

PROVIDER: S-EPMC5650659 | biostudies-literature | 2017

REPOSITORIES: biostudies-literature