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Spontaneous Middle Lobe Torsion Secondary to Pleural Effusion

Christine Raynaud, MD, PhD; Stéphane Lenoir, MD; Raffaele Caliandro, MD; Lionel Raffenne, MD; Pierre Validire, MD; Dominique Gossot, MD
Author and Funding Information

From the Thoracic Department (Drs. Raynaud, Caliandro, and Gossot), the Imaging Department (Dr. Lenoir), the Internal Medicine Department (Dr. Raffenne), and the Pathology Department (Dr. Validire), Institut Mutualiste Montsouris, Paris, France.

Correspondence to: Dominique Gossot, MD, Thoracic Department, Institut Mutualiste Montsouris, 42 Blvd Jourdan, F-75014 Paris, France; e-mail: dominique.gossot@imm.fr


The authors have reported to the ACCP that no significant conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/site/misc/reprints.xhtml).


© 2009 American College of Chest Physicians


Chest. 2009;136(1):281-283. doi:10.1378/chest.08-2373
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Pulmonary torsion is very rare, and usually occurs following lung resection. We report a case of spontaneous middle lobe torsion in a patient presenting with a right pleural effusion. The condition was treated by lobectomy through a totally thoracoscopic approach.

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