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Progressive coughing due to lung lobe torsion (case report)
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 Picture © Bayer Animal Health
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Coughing dogs are daily seen in small animal practice, and cough can be a sign of various pulmonal and extrapulmonal diseases. This case report describes progressive coughing and lethargy due to a spontaneous midlobar lung lobe torsion - a very rare reason...
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A 2-year-old intact male Newfoundland showed progressive coughing, retching and lethargy over the last 1-2 days.
On thoracic radiographs, the dog showed a right-sided pleural effusion and lobar vesicular emphysema.
A diagnostic thoracotomy revealed midlobar torsioh of the right caudal lung lobe. After partial lung lobectomy the dog recovered without complications.
Lung lobe torsions in dogs occur rarely and usually occur when the right middle lung lobe twists around the hilus. A midlobar lung torsion as described here is extremely rare but should be considered in cases with lobar vesicular emphysema and pleural effusion.
Source: Hofeling AD et al (2004): Spontaneous midlobar lung lobe torsion in a 2-year-old newfoundland. In: JAAHA 40:3, pp 220-223
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