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Rare case of bilateral bronchopulmonary sequestration
Mona P Roshan1, Robson de Macedo Filho2, Karl Sayegh2
1Herbert Wertheim College of Medicine, Florida International University, Miami, FL, USA.
Radiology Case Reports
|July 14, 2023
Summary
Pulmonary sequestration, a rare lung malformation, can cause serious health issues if not diagnosed promptly. This case highlights bilateral pulmonary sequestration (BPS) identified via triple rule out CT angiography (TRO-CTA).
Area of Science:
- Cardiology
- Pulmonology
- Radiology
Background:
- Pulmonary sequestration is a rare congenital bronchopulmonary malformation, affecting less than 6% of the population.
- It involves nonfunctional lung tissue with systemic blood supply, often unilateral but rarely bilateral.
- Delayed diagnosis can lead to severe complications like recurrent pneumonia and failure to thrive.
Observation:
- A 42-year-old patient presented with symptoms suggestive of a complex respiratory condition.
- Diagnostic imaging utilized triple rule out CT angiography (TRO-CTA) for comprehensive cardiovascular and pulmonary assessment.
- The imaging revealed bilateral pulmonary sequestration (BPS), a rare presentation of this congenital anomaly.
Findings:
- The case confirmed bilateral pulmonary sequestration (BPS) in an adult patient.
- Triple rule out CT angiography (TRO-CTA) proved effective in diagnosing this rare condition.
- The findings underscore the importance of considering BPS in adult patients with recurrent respiratory issues.
Implications:
- Increased awareness of BPS is crucial for timely diagnosis and management.
- Early detection can prevent significant morbidity and mortality associated with pulmonary sequestration.
- This case emphasizes the utility of advanced imaging techniques like TRO-CTA in diagnosing rare congenital lung malformations.
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