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Bronchopulmonary sequestration supplied from the renal artery.
L Vlahos1, A Gouliamos, D Mourikis
1Department of Radiology, Areteion University Hospital, Athens, Greece.
Der Radiologe
|January 1, 1990
Summary
A rare case of a sequestrated lung, a congenital lung malformation, was discovered in a young woman experiencing painless hematuria. This normally functioning lung received its blood supply from the right renal artery.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Pediatric Surgery
Background:
- Congenital lung malformations present unique diagnostic and management challenges.
- Sequestrated lungs, a type of congenital lung anomaly, are characterized by abnormal lung tissue with systemic blood supply.
- Painless hematuria can be a rare presenting symptom for various underlying conditions.
Observation:
- A young female patient presented with complaints of painless hematuria.
- Diagnostic imaging revealed an unusual finding: a normally functioning sequestrated lung.
- The sequestrated lung exhibited an anomalous vascular supply originating from a branch of the right renal artery.
Findings:
- The primary finding was the presence of a normally functioning intrapulmonary systemic arterialized accessory lung (SPAAL).
- The SPAAL was supplied by a direct arterial branch originating from the right renal artery.
- The patient's hematuria was investigated, and the sequestrated lung was identified as an incidental finding.
Implications:
- This case highlights the importance of considering rare vascular and congenital anomalies in the differential diagnosis of hematuria.
- Understanding the anomalous blood supply to sequestrated lungs is crucial for surgical planning and management.
- Such findings underscore the need for comprehensive diagnostic evaluation in patients with unexplained symptoms.