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Images in Thorax
An unfortunate surgical twist?
  1. Radj Cally1,
  2. Antoine Khalil2,
  3. Rym Zaïmi3,
  4. Pierre Magdeleinat3,
  5. Damien Contou1
  1. 1 Intensive Care Unit, Hospital Victor Dupouy, Argenteuil, France
  2. 2 Department of Radiology, Hôpital Bichat, Assistance Publique Hopitaux de Paris, Paris, Île-de-France, France
  3. 3 Thoracic surgery, Hopital Victor Dupouy, Argenteuil, Île-de-France, France
  1. Correspondence to Dr Damien Contou, Intensive Care Unit, Hospital Victor Dupouy, Argenteuil, France; Damien.contou{at}ch-argenteuil.fr

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A 48-year-old man was admitted to the intensive care unit (ICU) for massive haemoptysis and acute respiratory failure 24 hours after left lower lobectomy for lung adenocarcinoma. Chest X-ray performed in the postoperative room immediately after surgery showed a normal expansion of the remaining left upper lobe (figure 1, panel A), while chest X-ray performed at ICU admission revealed a sudden opacification of the previously expanded left upper lobe with abnormal presence of air in the left costophrenic angle (figure 1, panel B, white arrow heads). After tracheal intubation, chest CT scan revealed ground glass opacities with alveolar consolidation and volume loss of the remaining left upper lobe (figure 2, panel A) together with interlobular …

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Footnotes

  • Contributors RC and DC were responsible for drafting the manuscript. AK was responsible for imaging interpretation and evoked first the diagnosis of lobar torsion. RZ and PM performed the surgical intervention. All the authors took care of the patients. All authors read, critically reviewed and approved the final manuscript. DC takes responsibility for the paper as a whole.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data availability statement All data relevant to the study are included in the article.

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