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Bronchopulmonary sequestration in a 60 year old man.
Lena Naffaa1, Jay Tank2, Sara Ali2
1Department of Radiology, Akron Children's Hospital, Akron, Ohio, USA.
Journal of Radiology Case Reports
|November 27, 2014
Summary
A 60-year-old man with recurrent cough was diagnosed with bronchopulmonary sequestration (BPS) after initial pneumonia treatment failed. Thoracic imaging revealed an abnormal artery supplying the left lower lobe, confirming BPS and guiding management.
Area of Science:
- Pulmonology
- Radiology
- Thoracic Surgery
Background:
- Bronchopulmonary sequestration (BPS) is a rare congenital lung malformation.
- Diagnosis can be challenging, often mimicking common respiratory infections.
- Early and accurate diagnosis is crucial for effective management.
Observation:
- A 60-year-old male presented with recurrent cough, initially treated as left lower lobe pneumonia.
- Bronchoscopy revealed cryptogenic organizing pneumonia, prompting further investigation.
- Thoracic imaging identified an aberrant systemic artery supplying the consolidated left lower lobe.
Findings:
- The aberrant artery originated from the thoracic aorta, confirming intralobar bronchopulmonary sequestration.
- This case highlights the importance of advanced imaging in differentiating BPS from pneumonia.
- Successful diagnosis relied on integrating clinical, bronchoscopic, and radiological findings.
Implications:
- This case underscores the diagnostic utility of thoracic imaging in identifying BPS.
- Accurate pre-surgical planning using imaging modalities is essential for surgical success.
- Understanding BPS imaging features aids in timely and appropriate patient management.
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