台灣外科醫學會雜誌

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篇名	Torsion of Right Middle Lobe after Pulmonary Resection:Report of a Case
作者	Hon-Ki Hsu, Huan-Chun Su
卷期/出版年月	43卷3期 (2010/6)
頁次	154-157
摘要	such a complication after right upper lobe resection for adenocarcinoma of the lung. A 60-year-old female patient underwent a right upper lobe lobectomy for her pulmonary malignancy. On postoperative day 1, a chest radiograph (CXR) revealed an abnormal rounded opacity in the right upper lung field. Chest computed tomography (CT scan) disclosed an atelectatic right middle lobe. Torsion of the right middle lobe was suspected. Immediately, the patient underwent a re-thoracotomy. Right middle lobe torsion was found. Reduction was tried, but failed. A right middle lobe lobectomy was therefore performed. The postoperative course was unremarkable and the patient was discharged without further problems. Both the postoperative CXR and chest CT scan are very important for the diagnosis of lobar torsion. For right middle lobe torsion, early diagnosis and prompt management with lobar resection is crucial to avoid mortality and morbidity.
關鍵詞	torsion of right middle lobe
分類	Case Report