CTICasesRight middle lobe torsion following right upper lobectomy
Imaging findings
Radiographs show a persistent right medial paratracheal opacity. CT confirms right middle lobe torsion, with the lobe having rotated and migrated superiorly and medially into the right upper hemithorax, demonstrating bronchial and vascular distortion.
Key takeaways
Lobar torsion is a rare, severe complication following lobectomy. The right middle lobe is most prone to torsion after a right upper lobectomy due to complete fissures and increased mobility. Prompt detorsion or resection is required to prevent gangrene.
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