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Extralobar pulmonary sequestration with hemothorax secondary to pulmonary infarction
Darcy Ribeiro Pinto Filho1, Alexandre José Gonçalves Avino, Suzan Lúcia Brancher Brandão
1Serviço de Cirurgia Torácica, Hospital Geral de Caxias do Sul, Fundação Universidade de Caxias do Sul, RS, Brazil. darcyrp@terra.com.br
Summary
Extralobar pulmonary sequestration, a rare lung malformation, was diagnosed in a 32-year-old female presenting with chest pain. Surgical resection via thoracotomy was performed to treat the condition.
Area of Science:
- Cardiothoracic Surgery
- Pulmonary Medicine
- Diagnostic Imaging
Background:
- Pulmonary sequestration is a rare congenital lung malformation, comprising 0.5-6% of all pulmonary anomalies.
- Extralobar pulmonary sequestration is less common than intralobar sequestration.
- Diagnosis typically occurs in childhood, but adult presentations are documented.
Observation:
- A 32-year-old female presented with chest and abdominal pain.
- Imaging revealed consolidation and pleural effusion, with initial thoracocentesis showing hemothorax.
- Video-assisted thoracoscopy confirmed extralobar pulmonary sequestration.
Findings:
- The case highlights an adult diagnosis of extralobar pulmonary sequestration.
- Diagnostic imaging, including CT scans, played a crucial role in identifying the malformation.
- Hemothorax was a presenting complication.
Implications:
- This case underscores the importance of considering rare pulmonary malformations in adult patients with unexplained chest symptoms.
- Prompt diagnosis and surgical intervention are crucial for managing symptomatic pulmonary sequestration.
- Thoracotomy provided a safe approach for resection and vascular pedicle ligation.
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