Клинический случай КТ-диагностики перекрута язычковых сегментов левого легкого в раннем послеоперационном периоде: КЛИНИЧЕСКИЙ СЛУЧАЙ

Алим Хасанбиевич  Балкаров; Антонина Викторовна  Чёрная; Илья Александрович  Буровик; Сергей Сергеевич  Багненко; Станислав Леонидович  Трофимов

doi:10.56871/

С linical case of CT diagnosis of torsion of the lingular segments of the left lung in the early postoperative period

CLINICAL CASE

Alim Kh. Balkarov National Medical Research Center of Oncology named after N.N. Petrov https://orcid.org/0000-0002-8995-9407
Antonina V. Chernaya National Medical Research Center of Oncology named after N.N. Petrov https://orcid.org/0000-0002-7975-3165
Ilya A. Burovik National Medical Research Center of Oncology named after N.N. Petrov; Saint Petersburg State University https://orcid.org/0000-0002-4714-1228
Sergei S. Bagnenko National Medical Research Center of Oncology named after N.N. Petrov; Saint Petersburg State Pediatric Medical University https://orcid.org/0000-0002-4131-6293
Stanislav L. Trofimov National Medical Research Center of Oncology named after N.N. Petrov https://orcid.org/0000-0002-5321-370X

Keywords:

lung cancer postoperative complications lung torsion X-ray computed tomography рак легкого послеоперационные осложнения перекрут легкого рентгенография компьютерная томография

Abstract

This article presents a clinical case of torsion of the lingular segments of the left lung — a rare and life-threatening postoperative complication in thoracic surgery. The relevance of this description is due to the diagnostic challenges and high mortality risk if not detected promptly. The study analyzes the capabilities of imaging modalities in diagnosing this condition. It is shown that standard chest X-ray has limited informative value and cannot reliably differentiate torsion from other postoperative changes. Computed tomography is the method of choice, as it can detect characteristic signs even without intravenous contrast: abnormal configuration of the lung root structures with torsion signs, consolidation of the affected parenchyma, and bronchial displacement. Timely CT diagnosis enables emergency surgical intervention aimed at detorsion and prevention of irreversible lung damage. In conclusion, the importance of vigilance for this complication in the early postoperative period and the advisability of using computed tomography when torsion of a lung lobe or segment is suspected are emphasized.

Author Biographies

Alim Kh. Balkarov, National Medical Research Center of Oncology named after N.N. Petrov

radiologist of the Radiation Diagnostics Department

Antonina V. Chernaya, National Medical Research Center of Oncology named after N.N. Petrov

Cand. Sci. (Med.), Senior Researcher, Department of Diagnostic and Interventional Radiology, Radiologist, Department of Radiology

Ilya A. Burovik, National Medical Research Center of Oncology named after N.N. Petrov; Saint Petersburg State University

Cand. Sci. (Med.), Head of the Department of Radiation Diagnostics, Senior Researcher of the Scientific Department of Diagnostic and Interventional Radiology, Radiologist, National Medical Research Center of Oncology named after N.N. Petrov; Associate Professor, Department of Radiology, Saint Petersburg State University

Sergei S. Bagnenko, National Medical Research Center of Oncology named after N.N. Petrov; Saint Petersburg State Pediatric Medical University

Dr. Sci. (Med.), Professor, Deputy Director, Head of the Research Department, Leading
Researcher of the Research Department of Diagnostic and Interventional Radiology, National Medical Research Center of Oncology named after N.N. Petrov; Professor, Department of Modern Diagnostic Methods and Radiotherapy named after Professor S.A. Reinberg, Saint Petersburg State Pediatric Medical University

Stanislav L. Trofimov, National Medical Research Center of Oncology named after N.N. Petrov

radiologist of the Radiation Diagnostics Department

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С linical case of CT diagnosis of torsion of the lingular segments of the left lung in the early postoperative period: CLINICAL CASE. (2026). Visualization in Medicine, 8(1), 52-59. https://doi.org/10.56871/

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