Clinical and Experimental Pediatrics

대한소아청소년과학회 (The Korean Pediatric Society)
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Lung torsion after tracheoesophageal fistula repair in an infant

  • Yang, Eun Mi (Department of Pediatrics, Chonnam National University Hospital, Chonnam National University Medical School) ;
  • Song, Eun Song (Department of Pediatrics, Chonnam National University Hospital, Chonnam National University Medical School) ;
  • Jang, Hae In (Department of Pediatrics, Chonnam National University Hospital, Chonnam National University Medical School) ;
  • Jeong, In Seok (Department of Thoracic and Cardiovascular Surgery, Chonnam National University Hospital, Chonnam National University Medical School) ;
  • Choi, Young Youn (Department of Pediatrics, Chonnam National University Hospital, Chonnam National University Medical School)
  • 투고 : 2012.07.05
  • 심사 : 2012.09.24
  • 발행 : 2013.04.15
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초록

Lung torsion is a very rare event that has been reported in only 9 cases in the pediatric literature but has not yet been reported in Korean infants. We present a case of lung torsion after tracheoesophageal fistula repair in an infant. Bloody secretion from the endotracheal tube and chest radiographs and computed tomographic scan results indicated lung torsion. Emergency exploration indicated $180^{\circ}$ torsion of the right upper lobe (RUL) and right middle lobe (RML). After detorsion of both lobes, some improvement in the RUL color was observed, but the color change in the RML could not be determined. Although viability of the RML could not be proven, pexy was performed for both the lobes. Despite reoperation, clinical signs and symptoms did not improve. The bronchoscopy revealed a patent airway in the RUL but not in the RML. Finally, the RML was surgically removed. The patient was discharged on the 42nd day after birth.

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참고문헌

  1. Stratemeier EH, Barry JW. Torsion of the lung following thoracic trauma; a case report. Radiology 1954;62:726-7. https://doi.org/10.1148/62.5.726
  2. Daughtry DC. Traumatic torsion of the lung. N Engl J Med 1957;256:385-8. https://doi.org/10.1056/NEJM195702282560902
  3. Parks RE. Traumatic torsion of the lung. Radiology 1956;67:582-3. https://doi.org/10.1148/67.4.582
  4. Selmonosky CA, Flege JB Jr, Ehrenhaft JL. Torsion of a lobe of the lung due to blunt thoracic trauma. Ann Thorac Surg 1967;4:166-70. https://doi.org/10.1016/S0003-4975(10)66495-8
  5. Hislop A, Reid L. New pathological findings in emphysema of childhood. 2. Overinflation of a normal lobe. Thorax 1971;26:190-4. https://doi.org/10.1136/thx.26.2.190
  6. Fu JJ, Chen CL, Wu JY. Lung torsion: survival of a patient whose hemorrhagic infarcted lung remained in situ after detorsion. J Thorac Cardiovasc Surg 1990;99:1112-4.
  7. Alberti D, Borsellino A, Migliazza L, Brena ML, Sonzogni A, Cheli M, et al. Pulmonary torsion after cardiac surgery in two infants: review of pediatric literature. J Pediatr Surg 2004;39:1719-23. https://doi.org/10.1016/j.jpedsurg.2004.07.025
  8. Oliveira C, Zamakhshary M, Abdallah MR, Miller SF, Langer JC, Wales PW, et al. Lung torsion after tracheoesophageal fistula repair: a case report and review of literature. J Pediatr Surg 2007;42:E5-9.
  9. Cable DG, Deschamps C, Allen MS, Miller DL, Nichols FC, Trastek VF, et al. Lobar torsion after pulmonary resection: presentation and outcome. J Thorac Cardiovasc Surg 2001;122:1091-3. https://doi.org/10.1067/mtc.2001.117839
  10. Larsson S, Lepore V, Dernevik L, Nilsson F, Selin K. Torsion of a lung lobe: diagnosis and treatment. Thorac Cardiovasc Surg 1988; 36:281-3. https://doi.org/10.1055/s-2007-1020097
  11. Schamaun M. Postoperative pulmonary torsion: report of a case and survey of the literature including spontaneous and posttraumatic torsion. Thorac Cardiovasc Surg 1994;42:116-21. https://doi.org/10.1055/s-2007-1016469
  12. Felson B. Lung torsion: radiographic findings in nine cases. Radiology 1987;162:631-8. https://doi.org/10.1148/radiology.162.3.3809475
  13. Kanaan S, Boswell WD, Hagen JA. Clinical and radiographic signs lead to early detection of lobar torsion and subsequent successful intervention. J Thorac Cardiovasc Surg 2006;132:720-1. https://doi.org/10.1016/j.jtcvs.2006.05.028
  14. Apostolakis E, Koletsis EN, Panagopoulos N, Prokakis C, Dougenis D. Fatal stroke after completion pneumonectomy for torsion of left upper lobe following left lower lobectomy. J Cardiothorac Surg 2006;1:25. https://doi.org/10.1186/1749-8090-1-25
  15. Grazia TJ, Hodges TN, Cleveland JC Jr, Sheridan BC, Zamora MR. Lobar torsion complicating bilateral lung transplantation. J Heart Lung Transplant 2003;22:102-6. https://doi.org/10.1016/S1053-2498(02)00487-4

피인용 문헌

  1. Pulmonary Torsion as an Atypical Complication of Congenital Esophageal Atresia Repair—A Case Report and Review of Literature vol.2, pp.1, 2014, https://doi.org/10.1055/s-0033-1361834
  2. Long‐term survival after treatment of idiopathic lung lobe torsion in 80 cases vol.49, pp.4, 2013, https://doi.org/10.1111/vsu.13406