A Rare Complication Of Lobectomy: Lobar Torsion And Gangrene

Altan KIR, Erdal OKUR, Semih HALEZEROĞLU, Ali ATASALİHİ, *Gözde KIR

SSK Süreyyapaşa Göğüs Kalp ve Damar Hastalıkları Eğitim Hastanesi, Göğüs Cerrahisi Kliniği, İstanbul
^*Zeynep Kamil Kadın Hastalıkları ve Doğum Hastanesi, Patoloji Kliniği, İstanbul

Lobar torsion occurs by rotation of a lobe around its own bronchovascular pedicle and generally seen as a complication of lobectomy. Dyspnea, tachycardia, hemoptysis and increased density in plain radiography are usual signs. We have seen 3 cases of lobar gangrene as lobectomy complication for last ten years. Two of them occurred in right middle lobe, one in left upper lobe. They were diagnosed within first two days and treated by resection of these lobes. Lobar torsion, although a rare complication, can be life threatening. It should be diagnosed and treated as soon as possible.

Keywords : Pulmonary torsion, lobar gangrene

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