CTICasesLobar torsion secondary to pneumonia
Cite this case
[...]. Lobar torsion secondary to pneumonia. CTICases. Published June 28, 2019. https://cticases.com/c/78r7p
Imaging findings
CT scan shows rotation of the left upper lobe consolidation anteriorly and inferiorly, with narrowing of the left upper lobe bronchus and pulmonary vessels, in a patient with complete pleural fissures.
Key takeaways
Lobar torsion can complicate acute pneumonia or pleural effusion. The increased weight of the consolidated lobe combined with a complete pleural fissure allows the lobe to rotate on its pedicle, which requires urgent surgical detorsion or resection if ischemic.
AI-assisted summary — may contain errors. Verify against the source video. Learn more
More from this webinar
- Mediastinitis from superinfected calcified histoplasmosis lymph nodeInfection
- Pseudomonas lymphadenitis post-lung transplantationIatrogenic
- Coronary artery spasm mimicking high-grade stenosis on CTAVascular
- Fractional flow reserve (CT-FFR) triage for coronary artery diseaseVascular
- Granulomatous-lymphocytic interstitial lung disease (GLILD) in CVIDAutoimmune
- Anatomic variant of right lung abutting the ascending aortaOther
- CT reconstruction kernel artifactOther
- Coccidioidomycosis pulmonary cystInfection
See all cases from June 28, 2019 →