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Updated: Jun 29, 2025

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Endovascular embolization for massive hemoptysis in intralobar pulmonary sequestration with celiac artery supply: A
Dinesh Chataut1, Shailendra Katwal2, Sundar Suwal1
1Department of Radiology, Maharajgunj Medical Campus, Kathmandu, Nepal.
Abstract:
Pulmonary sequestration (PS) is a rare congenital anomaly characterized by noncommunicative lung tissue supplied by an abnormal systemic vessel. We present a case of a 30-year-old male with intralobar PS, receiving arterial supply from the celiac artery, manifesting as massive hemoptysis. After urgent stabilization, endovascular embolization using polyvinyl alcohol particles was successfully employed. The patient's symptoms resolved, and follow-up confirmed satisfactory recovery. Our case underscores the diverse arterial origins of PS and the efficacy of endovascular embolization as a minimally invasive treatment. The complexity of PS, its diagnostic imaging, and alternative therapeutic options are discussed, emphasizing tailored approaches for optimal outcomes in managing this uncommon congenital anomaly.
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