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Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus
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Bilateral pulmonary sequestrations: Distinct types sharing a common celiac artery origin, presented with pneumonia

Muhammed Tekinhatun1, Kadir Han Alver2

  • 1Radiology Department, Dicle University Hospital, Diyarbakir, Turkey.

Pediatric Pulmonology
|October 25, 2023
PubMed

Insights

This study highlights a rare case of bilateral pulmonary sequestration in a teenager, with both lung anomalies supplied by the celiac artery. This congenital condition can mimic infections but requires specific diagnostic awareness.

Area of Science:

  • Pediatric Radiology
  • Thoracic Surgery
  • Congenital Anomalies

Background:

  • Pulmonary sequestration is a rare congenital lung malformation.
  • It involves aberrant lung tissue disconnected from the normal tracheobronchial tree and pulmonary vasculature.
  • Often presents with recurrent respiratory infections.

Observation:

  • A 14-year-old male presented with symptoms suggestive of pneumonia.
  • Chest CT revealed bilateral intrapulmonary sequestrations.
  • Both sequestrations shared a common arterial supply originating from the celiac artery.

Findings:

  • The case demonstrates a unique presentation of bilateral pulmonary sequestration.
  • The aberrant blood supply from the celiac artery is an atypical finding.
  • Initial symptoms improved with antibiotics, underscoring diagnostic challenges.

Implications:

  • Highlights the importance of considering pulmonary sequestration in pediatric respiratory illness.
  • Emphasizes the variability in arterial supply to sequestrations, extending beyond the aorta.
  • Radiologists and clinicians must recognize diverse presentations of this congenital anomaly.

Keywords:
bilateral pulmonary sequestrationceliac arteryextralobar sequestrationintralobar sequestrationpulmonary sequestration

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