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Lobar Torsion
Cristina Fuss, MD; Jeffrey P. Kanne, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Synonyms

                • Volvulus of lung lobe
              • Definitions

                • Bronchovascular pedicle rotation: Airway obstruction, venous compromise, ischemia, infarction, gangrene

              IMAGING

              • General Features

                • Radiographic Findings

                  • CT Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Gross Pathologic & Surgical Features

                            CLINICAL ISSUES

                            • Presentation

                              • Demographics

                                • Natural History & Prognosis

                                  • Treatment

                                    DIAGNOSTIC CHECKLIST

                                    • Consider

                                      Selected References

                                      1. Eba S et al: [Assessment of computed tomography sagittal images for early diagnosis of pulmonary torsion after lung resection.] Kyobu Geka. 74(3):191-5, 2021
                                      2. Hammer MM et al: Clinical and imaging features in lung torsion and description of a novel imaging sign. Emerg Radiol. 25(2):121-7, 2018
                                      3. Restrepo CS et al: Post-operative imaging of pulmonary vessels. Cardiovasc Diagn Ther. 8(3):362-71, 2018
                                      4. Shiomi K et al: Pulmonary torsion after open esophagectomy for esophageal cancer: a case report and review. J Thorac Dis. 10(6):E462-8, 2018
                                      5. Childs L et al: Pulmonary lobar torsion: a rare complication following pulmonary resection, but one not to miss. BJR Case Rep. 3(1):20160010, 2017
                                      6. Cox CS et al: Middle lobe torsion after unilateral lung transplant. J Radiol Case Rep. 10(5):15-21, 2016
                                      7. Dai J et al: Predictors of survival in lung torsion: a systematic review and pooled analysis. J Thorac Cardiovasc Surg. 152(3):737-45.e3, 2016
                                      8. Mansour W et al: Left lung torsion: complication of lobar resection for an early stage lung adenocarcinoma. Case Rep Crit Care. 2016:9240636, 2016
                                      9. Nguyen JC et al: Bilateral whole-lung torsion after bilateral lung transplantation. J Thorac Imaging. 26(1):W17-9, 2011
                                      10. Grazia TJ et al: Lobar torsion complicating bilateral lung transplantation. J Heart Lung Transplant. 22(1):102-6, 2003
                                      11. Kim EA et al: Radiographic and CT findings in complications following pulmonary resection. Radiographics. 22(1):67-86, 2002
                                      12. Cable DG et al: Lobar torsion after pulmonary resection: presentation and outcome. J Thorac Cardiovasc Surg. 122(6):1091-3, 2001
                                      13. Gilkeson RC et al: Lung torsion after lung transplantation: evaluation with helical CT. AJR Am J Roentgenol. 174(5):1341-3, 2000
                                      14. Felson B: Lung torsion: radiographic findings in nine cases. Radiology. 162(3):631-8, 1987
                                      15. Moser ES et al: Lung torsion: case report and literature review. Radiology. 162(3):639-43, 1987
                                      Related Anatomy
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                                      Related Differential Diagnoses
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                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Terminology

                                        • Imaging

                                          • Top Differential Diagnoses

                                            • Pathology

                                              • Clinical Issues

                                                • Diagnostic Checklist

                                                  TERMINOLOGY

                                                  • Synonyms

                                                    • Volvulus of lung lobe
                                                  • Definitions

                                                    • Bronchovascular pedicle rotation: Airway obstruction, venous compromise, ischemia, infarction, gangrene

                                                  IMAGING

                                                  • General Features

                                                    • Radiographic Findings

                                                      • CT Findings

                                                        • Imaging Recommendations

                                                          DIFFERENTIAL DIAGNOSIS

                                                            PATHOLOGY

                                                            • General Features

                                                              • Gross Pathologic & Surgical Features

                                                                CLINICAL ISSUES

                                                                • Presentation

                                                                  • Demographics

                                                                    • Natural History & Prognosis

                                                                      • Treatment

                                                                        DIAGNOSTIC CHECKLIST

                                                                        • Consider

                                                                          Selected References

                                                                          1. Eba S et al: [Assessment of computed tomography sagittal images for early diagnosis of pulmonary torsion after lung resection.] Kyobu Geka. 74(3):191-5, 2021
                                                                          2. Hammer MM et al: Clinical and imaging features in lung torsion and description of a novel imaging sign. Emerg Radiol. 25(2):121-7, 2018
                                                                          3. Restrepo CS et al: Post-operative imaging of pulmonary vessels. Cardiovasc Diagn Ther. 8(3):362-71, 2018
                                                                          4. Shiomi K et al: Pulmonary torsion after open esophagectomy for esophageal cancer: a case report and review. J Thorac Dis. 10(6):E462-8, 2018
                                                                          5. Childs L et al: Pulmonary lobar torsion: a rare complication following pulmonary resection, but one not to miss. BJR Case Rep. 3(1):20160010, 2017
                                                                          6. Cox CS et al: Middle lobe torsion after unilateral lung transplant. J Radiol Case Rep. 10(5):15-21, 2016
                                                                          7. Dai J et al: Predictors of survival in lung torsion: a systematic review and pooled analysis. J Thorac Cardiovasc Surg. 152(3):737-45.e3, 2016
                                                                          8. Mansour W et al: Left lung torsion: complication of lobar resection for an early stage lung adenocarcinoma. Case Rep Crit Care. 2016:9240636, 2016
                                                                          9. Nguyen JC et al: Bilateral whole-lung torsion after bilateral lung transplantation. J Thorac Imaging. 26(1):W17-9, 2011
                                                                          10. Grazia TJ et al: Lobar torsion complicating bilateral lung transplantation. J Heart Lung Transplant. 22(1):102-6, 2003
                                                                          11. Kim EA et al: Radiographic and CT findings in complications following pulmonary resection. Radiographics. 22(1):67-86, 2002
                                                                          12. Cable DG et al: Lobar torsion after pulmonary resection: presentation and outcome. J Thorac Cardiovasc Surg. 122(6):1091-3, 2001
                                                                          13. Gilkeson RC et al: Lung torsion after lung transplantation: evaluation with helical CT. AJR Am J Roentgenol. 174(5):1341-3, 2000
                                                                          14. Felson B: Lung torsion: radiographic findings in nine cases. Radiology. 162(3):631-8, 1987
                                                                          15. Moser ES et al: Lung torsion: case report and literature review. Radiology. 162(3):639-43, 1987