Kayı Ayten CANGIR, Serkan ENÖN, Ulaş KUMBASAR, Şevket KAVUKÇU, Çetin ATASOY

A new non-invasive diagnostic method for lung lobe torsion: Pulmonary CT angiography

Lobektomi sonrası kalan lobun torsiyonu, tanısı zor, hemorajik enfarktüs ve fatal gangrenle sonuçlanabilecek nadir bir durumdur. Bronşektazi nedeniyle orta lob rezeksiyonu sonrası üst lob torsiyonu olan ve noninvaziv pulmoner BT anjiografi ile tanı konulan bir olguyu sunmaktayız. Olguya retorakotomi ile üst lobektomi uygulandı. İki yıllık izlem sonunda hasta asemptomatikti. Bronkoskopinin tanıda değeri yüksek olsa da, BT anjiografi kesin tanının doğrulanması için efektif noninvaziv bir metottur. Yüksek klinik şüphe, erken tanı ve agresif tedavi sağ kalımı arttırır.

Akciğer lob torsiyonu için yeni bir noninvaziv tanısal metod: Pulmoner BT anjiyografi

Torsion of the remaining lung lobe after lobectomy is an uncommon event which is difficult to diagnose and may result in hemorrhagic infarction and fatal gangrene. We report a case of right upper lobe torsion after middle lobe resection for bronchiectasis, diagnosed with noninvasive pulmonary CT angiography. Rethoracotomy with an upper lobectomy was performed. She was asymptomatic at the 2-year follow-up. Although the bronchoscopy has a great value in the diagnosis, CT angiography is an effective noninvasive method for confirming the correct diagnosis. A high index of clinical suspicion, early diagnosis and aggressive management may improve survival.

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