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[Intralobar lung sequestration. Diagnosis using the duplex-scan technic].

T Zimmermann, K H Deeg, H P Hümmer

    Monatsschrift Kinderheilkunde : Organ Der Deutschen Gesellschaft Fur Kinderheilkunde
    |December 1, 1986
    PubMed
    Summary
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    This case study highlights intralobar lung sequestration in a child with recurrent pneumonia. Diagnosis involved imaging, revealing anomalous arteries feeding the sequestration, necessitating surgical intervention.

    Area of Science:

    • Pediatric Surgery
    • Diagnostic Imaging
    • Pulmonology

    Background:

    • Intralobar lung sequestration can present with recurrent respiratory infections in children.
    • Early and accurate diagnosis is crucial for effective management.
    • This condition involves abnormal lung tissue with a systemic blood supply.

    Observation:

    • A 3-year-old boy experienced recurrent pneumonia due to intralobar lung sequestration.
    • Initial imaging revealed a density in the right lower lobe and a supra-diaphragmatic mass.
    • Pulsatile flow within feeding arteries was detected via Doppler sonography.

    Findings:

    • Aortography confirmed anomalous arteries originating from the descending aorta supplying the sequestrum.
    • Bronchoscopy and bronchography showed no connection between the sequestered lung and the bronchial tree.

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  • The findings confirmed a congenital lung malformation requiring surgical treatment.

    • Implications:

    • Surgical resection is the definitive treatment for intralobar lung sequestration.
    • Prompt diagnosis and surgical intervention can prevent recurrent infections and complications.
    • This case underscores the importance of advanced imaging in diagnosing pediatric lung malformations.