Lobar torsion after lung transplantation
Journal
Journal of the Formosan Medical Association
Journal Volume
112
Journal Issue
2
Pages
105-108
Date Issued
2013
Author(s)
Abstract
Lobar torsion is a rare complication after lung transplantation. Here we report a case of right middle lobe (RML) torsion after bilateral sequential lung transplantation (BLTx). This 30-year-old lady underwent BLTx for bronchiolitis obliterans due to paraneoplastic pemphigus. The right lower lobe of the donor lung was resected due to inflammatory change during procurement. The postoperative chest X-ray showed persisting RML infiltrates. Fever and leukocytosis were noted 1 week later. RML lobectomy was performed after the reconstructed chest computed tomography confirmed the diagnosis of RML torsion. Adult respiratory distress syndrome with unstable vital signs, refractory hypoxemia and respiratory acidosis occurred thereafter. After venoarterial extracorporeal membrane oxygenation support, the patient recovered slowly and was discharged 5 months after BLTx. ? 2012.
SDGs
Other Subjects
C reactive protein; adult; adult respiratory distress syndrome; article; bronchiolitis obliterans; case report; computer assisted tomography; female; fever; forced expiratory volume; forced vital capacity; human; hypoxemia; leukocytosis; lobar torsion; lobectomy; lung disease; lung perfusion; lung transplantation; paraneoplastic pemphigus; postoperative complication; respiratory acidosis; thorax radiography; torsion; Adult; Extracorporeal Membrane Oxygenation; Female; Humans; Lung Transplantation; Tomography, X-Ray Computed; Torsion Abnormality
Type
journal article