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A very rare case of lingular sequestration.

Vikas Marwah¹, C D S Katoch², Dhiraj Jhamb³

¹Senior Adviser (Resp Med) and Pulmonary Critical Care & Sleep Medicine, AICTS, Pune 411040, India.

Medical Journal, Armed Forces India

|March 27, 2023

Summary

Pulmonary sequestration, a rare congenital lung anomaly, involves abnormal lung tissue. This case highlights a rare intralobar lingular sequestration successfully managed with segmentectomy.

Keywords:

Extralobar Intralobar Lingular sequestration Pulmonary sequestration Sequestrectomy

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Area of Science:

Pulmonology
Thoracic Surgery
Pediatric Surgery

Background:

Pulmonary sequestration is a rare congenital lung malformation characterized by non-functional lung tissue lacking normal bronchial connections.
It is classified into intralobar and extralobar types, with intralobar sequestration being more prevalent and typically involving the lower lobes.

Observation:

This report details an exceptionally rare case of intralobar pulmonary sequestration affecting the lingula, a part of the left upper lobe.
The patient presented with a history of recurrent chest infections, a common but often challenging clinical manifestation of this condition.

Findings:

The diagnosis of intralobar lingular sequestration was confirmed, representing an uncommon site for this congenital anomaly.
Surgical management via segmentectomy proved effective in resolving the patient's recurrent respiratory symptoms.

Implications:

This case underscores the importance of considering rare presentations of pulmonary sequestration, even in unusual locations like the lingula.
Early diagnosis and appropriate surgical intervention, such as segmentectomy, are crucial for managing symptomatic pulmonary sequestration and improving patient outcomes.