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Updated: Jul 2, 2026
04:44
Imaging Features of Systemic Sclerosis-Associated Interstitial Lung Disease
Published on: June 16, 2020
[Intralobar sequestration in elderly patient; report of a case].
T Morikawa1, I Nagahiro, Y Endo
1Department of Surgery, Himeji Red Cross Hospital, Himeji, Japan.
Kyobu Geka. the Japanese Journal of Thoracic Surgery
|August 14, 2008
Summary
Intralobar sequestration, a rare lung condition, was diagnosed in a woman previously treated for bronchitis. Surgical removal of the affected lung lobe and abnormal blood vessel led to an uneventful recovery.
Area of Science:
- Thoracic surgery
- Pulmonary medicine
- Vascular anomalies
Background:
- Intralobar sequestration is a congenital lung malformation where lung tissue has an abnormal systemic arterial supply and no, or abnormal, venous drainage.
- It is often misdiagnosed, with symptoms like recurrent pneumonia or hemoptysis leading to delayed diagnosis.
Observation:
- A 71-year-old woman presented with a history of intermittent, minor hemoptysis over 30 years, initially managed as bronchitis.
- Computed tomography (CT) scan revealed intralobar sequestration in the left lower lung lobe, supplied by an aberrant artery originating from the thoracic descending aorta.
Findings:
- The patient underwent a left lower lobectomy with ligation of the anomalous systemic artery via thoracotomy.
- Histopathological examination confirmed intralobar sequestration.
Implications:
- This case highlights the importance of considering intralobar sequestration in adult patients with recurrent respiratory symptoms, especially hemoptysis, even after prolonged misdiagnosis.
- Surgical intervention, including lobectomy and vessel ligation, is an effective treatment for intralobar sequestration, leading to favorable outcomes.
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