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A rare cause of recurrent chest infection in children-bronchopulmonary sequestration

Shabbir Hussain1, Shoaib Ahmed1, Syed Awais Ul Hassan Shah2

  • 1Consultant Paediatrician, Combined Military Hospital, Peshawar, Pakistan.

JPMA. the Journal of the Pakistan Medical Association
|February 1, 2017
PubMed

Insights

A rare congenital lung anomaly, bronchopulmonary sequestration, was diagnosed in a 6-year-old boy with recurrent infections. Surgical removal confirmed this intralobar sequestration, offering a treatment pathway.

Area of Science:

  • Pediatric Surgery
  • Thoracic Surgery
  • Congenital Anomalies

Background:

  • Bronchopulmonary sequestration is a rare congenital thoracic malformation.
  • It can present with recurrent respiratory infections and breathing difficulties.

Observation:

  • A 6-year-old boy presented with fever, cough, and a history of recurrent chest infections.
  • Radiographic and CT imaging revealed a cystic mass in the left lower lobe supplied by a systemic artery.

Findings:

  • Contrast-enhanced CT scan findings were highly suggestive of intralobar bronchopulmonary sequestration (IPS).
  • Surgical resection was performed, and histopathology confirmed the diagnosis of bronchopulmonary sequestration.

Implications:

  • Early diagnosis and surgical intervention are crucial for managing bronchopulmonary sequestration.
  • This case highlights the importance of advanced imaging in identifying rare congenital lung anomalies.

Keywords:
Bronchopulmonary sequestration, Children, Intralobar, Extralobar, Recurrent pneumonia.

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