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Pulmonary sequestration: a case report and literature review
Xin Qian1, Yuhui Sun2, Dan Liu1
1Department of Respiratory Medicine, Taihe Hospital Affiliated to Hubei University of MedicineShiyan, China; Institute of Respiratory Medicine, Taihe Hospital Affiliated to Hubei University of MedicineShiyan, China.
International Journal of Clinical and Experimental Medicine
|February 18, 2016
Summary
Pulmonary sequestration (PS) is a rare congenital lung defect. Surgical resection is recommended for symptomatic patients to prevent life-threatening hemoptysis.
Area of Science:
- Congenital Malformations
- Thoracic Surgery
- Pulmonary Medicine
Background:
- Pulmonary sequestration (PS) is a rare congenital lung malformation.
- It involves dysplastic lung tissue with anomalous systemic arterial supply, separate from the normal bronchial tree.
- Misdiagnosis or delayed treatment can result in recurrent pneumonia and severe bleeding (hemoptysis).
Observation:
- A 45-year-old female presented with cough and hemoptysis.
- Contrast-enhanced CT revealed a multiloculated cystic mass with low-density lesions.
- A feeding artery from the descending aorta to the mass was identified.
Findings:
- The patient underwent right lower-lobe resection.
- Surgical and pathological findings confirmed intralobar pulmonary sequestration.
- The diagnosis was supported by imaging and histological examination.
Implications:
- Symptomatic pulmonary sequestration requires surgical intervention.
- Early diagnosis and treatment are crucial to avoid fatal hemoptysis.
- This case highlights the importance of timely surgical management for PS.
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