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Case Reports
. 2021 Jan 28:7:301-304.
doi: 10.1016/j.xjtc.2021.01.027. eCollection 2021 Jun.

Spontaneous bilobar torsion managed with pneumopexy

T Robert Qaqish  1 , Abby Chainani  1 , Elizabeth Batchelor  2 , Ruchi Thanawala  1 , Hildur Jonsdottir  2 , Sundar Krishnan  3 , Thomas Gross  2 , Evgeny V Arshava  1
Affiliations
Case Reports

Spontaneous bilobar torsion managed with pneumopexy

T Robert Qaqish et al. JTCVS Tech. .
No abstract available

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Figures

None
Distorted right mainstem (RM) bronchus without visualization of the right upper lobe bronchus.
Figure 1
Figure 1
A, Initial admission computed tomography (CT) scan showing a coronal view of the right lung with right upper lobe (RUL) consolidation. The arrow is pointing to the RUL bronchus. B, CT 2 days after admission showing the right lower lobe (RLL) at the apex of the right chest and the consolidated RUL inferiorly and possibly right middle lobe (RML). Note the displacement of the RUL bronchus. C, Fiberoptic bronchoscopy demonstrating distal trachea, carina, left mainstem (LM) bronchus, and right mainstem (RM) bronchus. D, Distorted RM bronchus without visualization of the RUL bronchus.
Figure 2
Figure 2
A, Thoracoscopic view demonstrating atelectatic right upper lobe (RUL) and right middle love (RML) with a narrow common bronchovascular pedicle. B, Suture pneumopexy of RUL and right lower lobe (RLL).
Figure 3
Figure 3
Chronology of chest radiographs from admission to discharge. A, Admission chest radiograph from the outside hospital demonstrating right upper lobe (RUL) consolidation. B, Interval chest radiograph showing migration of the RUL consolidation to right lower lung field. C, Immediate postoperative chest radiograph after thoracoscopic exploration. D, Postoperative chest radiograph 3 weeks after discharge from the hospital.
See this image and copyright information in PMC

References

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