HighlightsEndobronchial hamartomas are rare benign tumors.Surgical resection is recommended in patients with end stage lung injury or extra bronchial spread lesion.In presence of extra bronchial spread lesion, surgical team should keep in mind the possibility of potential vascular injury.

Key messageA prompt diagnosis is mandatory to avoid fatal complications in case of pulmonary artery pseudoaneurysm.

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HighlightsPrimary Spontaneus Pneumothorax is a common clinical problem.The risk of recurrence is high.The elective surgery treatment in patient with history of recurrent PSP remains questionable.Bleeding or prolonged air leaks represent the most common complications following the lysis of multiple pleural adhesions.We do not recommend the elective surgery treatment in patient living in rural area with recurrent primary spontaneous pneumothorax.

Lung or lobar torsion is a very rare condition that can cause serious complications if missed or untreated. We report a case of a 72-year-old man undergoing video-assisted thoracoscopic upper bilobectomy for treatment of lung cancer. On the first postoperative day radiographic and bronchoscopic findings suggested lobar torsion and then exploratory thoracotomy was carried out within 24 hours of the initial procedure performing simple detorsion and not completion pneumonectomy for various reasons: absence of pulmonary necrosis, incomplete rotation of the bronchovascular pedicle, patient's inability to functionally tolerate a pneumonectomy. Unfortunately the patient didn't show clinical and radiological improvement, during the postoperative period, and he died 12 days later due to cardiorespiratory complications. This case report highlights the need for prompt intervention in patients with lobar torsion within a few hours from the onset of the phenomenon. At the same time it highlights the possibility of fatal outcome in patients unable to functionally tolerate further lung resection. To the best of our knowledge, this is the first report of lobar torsion following video-assisted thoracoscopic upper bilobectomy.