{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:20:05Z","timestamp":1760145605933,"version":"build-2065373602"},"reference-count":11,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2024,8,15]],"date-time":"2024-08-15T00:00:00Z","timestamp":1723680000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Reports"],"abstract":"<jats:p>In this case report, we described a rare complication\u2014lung torsion after esophageal atresia repair in a newborn. Torsion of the lung is a critical condition in which either the entire lung or a lung lobe twists, leading to occlusion of blood vessels and airways. The patient\u2019s clinical condition was poor after the primary operation. An emergency thoracotomy showed 180\u00b0 torsion of the right upper lobe (RUL) and right middle lobe (RML). After detorsion, perioperatively, the lung was gradually reperfused and had a normal appearance. After surgery, the patient was unstable, which culminated in a fatal end (bradycardia, reperfusion injury). Immediate intervention can preserve the affected lung or lung lobe. However, pulmonary torsion typically has a poor prognosis due to misdiagnosis and delayed treatment. Additionally, diagnosis in the neonatal period is even more challenging because the clinical symptoms are nonspecific. In any case, the question is whether detorsion is the right solution or whether a segmentectomy is necessary.<\/jats:p>","DOI":"10.3390\/pediatric16030060","type":"journal-article","created":{"date-parts":[[2024,8,15]],"date-time":"2024-08-15T05:47:11Z","timestamp":1723700831000},"page":"717-723","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Rare Postoperative Complication of Esophageal Atresia after Open Thoracotomy Repair in Newborn\u2014Lung Torsion: A Case Report"],"prefix":"10.3390","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-1574-4691","authenticated-orcid":false,"given":"Szymon","family":"Grybo\u015b","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery, Childrens Faculty Hospital in Ko\u0161ice, Tr. SNP 1, 04011 Ko\u0161ice, Slovakia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8424-367X","authenticated-orcid":false,"given":"Viera","family":"Karaffov\u00e1","sequence":"additional","affiliation":[{"name":"Department of Morphological Disciplines, University of Veterinary Medicine and Pharmacy in Ko\u0161ice, Komensk\u00e9ho 73, 04181 Ko\u0161ice, Slovakia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katarina","family":"Klapa\u010dov\u00e1","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Childrens Faculty Hospital in Ko\u0161ice, Tr. SNP 1, 04011 Ko\u0161ice, Slovakia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,8,15]]},"reference":[{"key":"ref_1","unstructured":"Baldwin, D., and Yadav, D. (2023). Esophageal Atresia. StatPearls, StatPearls Publishing."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1186\/s40792-017-0313-3","article-title":"Spontaneous Torsion of the Right Upper Lung Lobe: A Case Report","volume":"3","author":"Kita","year":"2017","journal-title":"Surg. Case Rep."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"E5","DOI":"10.1016\/j.jpedsurg.2007.07.027","article-title":"Lung torsion after tracheoesophageal fistula repair: A Case Report and review of literature","volume":"42","author":"Oliveira","year":"2007","journal-title":"J. Pediatr. Surg."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"186","DOI":"10.3345\/kjp.2013.56.4.186","article-title":"Lung torsion after tracheoesophageal fistula repair in an infant","volume":"56","author":"Yang","year":"2013","journal-title":"Korean J. Pediatr."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1055\/s-0033-1361834","article-title":"Pulmonary torsion as an atypical complication of congenital esophageal atresia repair-a case report and review of literature","volume":"2","author":"Koziarkiewicz","year":"2014","journal-title":"Eur. J. Pediatr. Surg. Rep."},{"key":"ref_6","first-page":"e11904","article-title":"Management of early post-operative complications of esophageal atresia with tracheoesophageal fistula: A retrospective study","volume":"12","author":"Syed","year":"2020","journal-title":"Cureus"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1024","DOI":"10.1111\/pan.13711","article-title":"Perioperative management of esophageal atresia\/tracheo-esophageal fistula: An analysis of data of 101 consecutive patients","volume":"29","author":"Costerus","year":"2019","journal-title":"Paediatr. Anaesth."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1186\/1749-8090-1-25","article-title":"Fatal stroke after completion pneumonectomy for torsion of left upper lobe following left lower lobectomy","volume":"1","author":"Apostolakis","year":"2006","journal-title":"J. Cardiothorac. Surg."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"737","DOI":"10.1016\/j.jtcvs.2016.03.077","article-title":"predictors of survival in lung torsion: A systematic review and pooled analysis","volume":"152","author":"Dai","year":"2016","journal-title":"J. Thorac. Cardiovasc. Surg."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"746","DOI":"10.1016\/j.jtcvs.2016.04.063","article-title":"The lung torsion dilemma: Detorsion without resection or resection without detorsion?","volume":"152","author":"Thomas","year":"2016","journal-title":"J. Thorac. Cardiovasc. Surg."},{"key":"ref_11","unstructured":"Jalota Sahota, R., and Anjum, F. (2023). Lung Torsion. StatPearls, StatPearls Publishing."}],"container-title":["Pediatric Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2036-7503\/16\/3\/60\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T15:36:49Z","timestamp":1760110609000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2036-7503\/16\/3\/60"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,15]]},"references-count":11,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2024,9]]}},"alternative-id":["pediatric16030060"],"URL":"https:\/\/doi.org\/10.3390\/pediatric16030060","relation":{},"ISSN":["2036-7503"],"issn-type":[{"type":"electronic","value":"2036-7503"}],"subject":[],"published":{"date-parts":[[2024,8,15]]}}}