Middle Lobe Torsion after Unilateral Lung Transplant

Authors

  • Chad S. Cox
  • Summer J. Decker
  • Mark Rolfe
  • Todd R. Hazelton
  • Carlos A. Rojas

DOI:

https://doi.org/10.3941/jrcr.v10i5.2761

Keywords:

Lobar torsion, Lung transplant, Complication of Lung Transplant, Atelectasis, Lobectomy

Abstract

Lobar torsion is well documented after pneumonectomy, but is very rare after lung transplant.  To the best of our knowledge, this is the twelfth reported case of lobar torsion after lung transplant.  In our case, bronchoscopies and chest radiographs were inconclusive; however, CT scan clearly demonstrated findings consistent with right middle lobe torsion.   We review the literature and discuss the epidemiology, clinical presentation, imaging features, and treatment considerations for this condition. We also propose that if a clinical picture could be secondary to torsion and bronchoscopies and chest x ray are inconclusive that a CT scan should be obtained as soon as possible since early recognition increases the likelihood of being able to successfully detorse the lung and avoid lobectomy.

Author Biographies

Chad S. Cox

Radiology Resident at University of South Florida Morsani College of Medicine.

Summer J. Decker

Deparment of Radiology.  Assistant Professor and Director of Imaging Research.

Mark Rolfe

Department of Pulmonology and Critical Care.

Todd R. Hazelton

Professor and Chair for College of Medicine Radiology.

Carlos A. Rojas

Assistant Professor and Director for College of Medicine Radiology.

Published

2016-05-28

Issue

Section

Thoracic Radiology