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Pryce's type I pulmonary intralobar sequestration presenting with massive hemoptysis
E J Miller1, S P Singh, R J Cerfolio
1Department of Pathology, University of Alabama at Birmingham, AL, USA.
Annals of Diagnostic Pathology
|April 11, 2001
Summary
Type I intralobar pulmonary sequestration is usually asymptomatic. This case highlights a rare instance of massive hemoptysis as the initial presentation in a previously healthy 58-year-old man.
Area of Science:
- Pulmonary Medicine
- Thoracic Surgery
- Pathology
Background:
- Intralobar pulmonary sequestration is a congenital lung malformation.
- Pryce's type I sequestration involves tracheobronchial continuity and aberrant systemic arterial supply.
- Typically asymptomatic, it's often found incidentally.
Observation:
- A 58-year-old male presented with massive hemoptysis.
- The patient had no prior symptoms.
- Radiographic, intraoperative, and pathological data were collected.
Findings:
- The patient's condition was confirmed as Pryce's type I intralobar pulmonary sequestration.
- Massive hemoptysis is an uncommon presentation for this condition.
Implications:
- This case underscores the potential for rare, severe presentations of intralobar pulmonary sequestration.
- Highlights the importance of considering pulmonary sequestration in cases of unexplained massive hemoptysis.
- Emphasizes the need for thorough diagnostic evaluation in patients with hemoptysis.