HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Shahriyour Andaz Stewart Fox Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Sticco, C. C. Articles by Fox, S. Search for Related Content PubMed Articles by Sticco, C. C. Articles by Fox, S. Related Collections Lung - other Minimally invasive surgery

J Thorac Cardiovasc Surg 2007;134:1090-1091
© 2007 The American Association for Thoracic Surgery

Brief Communication

Middle lobe torsion after right upper lobectomy: A report of video-assisted thoracoscopic management

Department of Thoracic Surgery, Soouth Nassau Communities Hospital, Oceanside, NY.

Received for publication May 16, 2007; accepted for publication May 30, 2007.

^_* Address for reprints: Charles C. Sticco, DO, General Surgery Resident, South Nassau Communities Hospital, One Healthy Way, Oceanside, NY 11572. (Email: csticco@numc.edu).

The first 20% of the full text of this article appears below.

The incidence of postlobectomy lobar torsion is rare. The literature states that lobe torsion occurs in 0.089% to 0.3% of patients after lung resection.¹ Traditionally, treatment includes re-exploratory thoracotomy with affected lobe resection.² We present a case of right middle lobe torsion with surgical treatment through a video-assisted thoracoscopic (VATS) approach after thoracotomy and right upper lobectomy.

Clinical Summary

A 59-year-old male patient had chest pain and cough for 10 days. A chest radiograph revealed a small round nodular density in the right upper lobe of the lung. An outpatient computed tomographic (CT) scan confirmed the presence of a 1.7-cm speculated tumor with no significant mediastinal lymphadenopathy. Medical history was significant for Crohn disease, hypertension, and a 45 pack-year history of smoking. Home medications included valsartan (Diovan), mesalamine (Asacol), and methotrexate.

The patient initially underwent a right VATS with wedge resection followed by a right thoracotomy and formal right upper lobe lobectomy. Pathologic . . . [Full Text of this Article]

This article has been cited by other articles:

				Y. Tanaka, W. Nishio, D. Hokka, S. Kawamura, E. Shimada, and S. Okumura Acute torsion of the left lower lobe caused by chronic traumatic hernia of the diaphragm J. Thorac. Cardiovasc. Surg., February 1, 2010; 139(2): e4 - e6. [Full Text] [PDF]