Recognizing and Managing Post-Lobectomy Lung Torsion: A Critical Case Report

Tinglv Fu; Ning Li; Qing Geng

doi:10.12659/AJCR.945744

03 March 2025 : Case report China

Recognizing and Managing Post-Lobectomy Lung Torsion: A Critical Case Report

Challenging differential diagnosis, Rare disease

Tinglv Fu^{BCEF 1}, Ning Li^{ADEG 1*}, Qing Geng^{ADE 1}

DOI: 10.12659/AJCR.945744

Am J Case Rep 2025; 26:e945744

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Table 1. Characteristics of lung torsion of the left lower lobe following left upper lobectomy, in the literature and in the current study.

Authors	Year	Age (years)	Sex	Clinical presentation	Diagnostic method	Time to diagnosis	Degree of torsion	Direction of torsion	Treatment	Clinical outcomes
Kelly et al []¹²	1977	65	Female	Moderate hypotension and tachycardia	Chest X-ray, CT, and broncho-scopy	1 d	180°	–	Direct resection	Death
Livaudais et al []¹⁴	1980	60	Female	A sudden cessation of bubbling of the chest tubes, hypotension, and arterial hypoxemia	Chest X-ray	A moment	90°	Clockwise	Detorsion	Recovery
Hendriks et al []¹³	1994	56	Male	Hemoptysis	Chest X-ray, CT, and broncho-scopy	0.5 d	–	–	Indirect resection	Death
Demir et al []¹⁵	2006	60	Male	Sudden dyspnea	Chest X-ray, CT, and broncho-scopy	1 d	120°	–	Direct resection	Recovery
Li et al []¹⁶	2007	46∼66	–	Chest pain and dyspnea	Chest X-ray, CT, and broncho-scopy	4 d (2∼14 d)	–	–	Direct resection	Recovery
Chung et al []¹⁷	2010	64	Female	Dyspnea	Chest X-ray, CT, and broncho-scopy	9 d	120°	Clockwise	Detorsion	Recovery
Lam et al []¹⁸	2010	61	Female	Fever, cough, and shortness of breath	Chest X-ray, CT, and broncho-scopy	7 d	–	–	Direct resection	Recovery
Iwata et al []¹¹	2011	58	Male	Dyspnea, hemoptysis, and intrathoracic hemorrhage	Chest X-ray and CT	8 d	Slight torsion	Counter-clockwise	Conservative treatment	Recovery
Alassar et al []⁸	2014	57	Female	Atrial fibrillation with tachycardia	Chest X-ray, and broncho-scopy	1 d	180°	Counter-clockwise	Indirect resection	Recovery
Vallabhajo-syula et al []¹⁹	2016	70	Female	Dyspnea and hypoxia	Chest X-ray, and broncho-scopy	4 d	–	–	Direct resection	Recovery
Mansour et al []²	2016	76	Female	Chest pain, atrial fibrillation, and hemoptysis	Chest X-ray, CT, and broncho-scopy	2 d	–	–	Indirect resection	Recovery
CT – computed tomography.

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Recognizing and Managing Post-Lobectomy Lung Torsion: A Critical Case Report

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