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[Intralobar pulmonary sequestration associated with asymptomatic aspergillosis: a case report]
C Kadoyama1, M Fujino, N Hasejima
1Department of Respiratory Surgery, Omiya Redcross Hospital, Yono, Japan.
Kyobu Geka. the Japanese Journal of Thoracic Surgery
|October 1, 1996
Summary
This case report highlights intralobar pulmonary sequestration, a rare lung condition, found with asymptomatic aspergillosis. Prompt surgical removal is necessary even without symptoms to prevent complications.
Area of Science:
- Pulmonology
- Thoracic Surgery
- Infectious Diseases
Background:
- Intralobar pulmonary sequestration (IPS) is a congenital lung malformation where lung tissue receives an abnormal blood supply.
- Aspergillosis is a group of infections caused by Aspergillus fungi, which can affect the lungs.
Observation:
- A 39-year-old woman presented with an abnormal shadow on chest X-ray, indicative of IPS.
- An aortogram revealed an anomalous artery supplying the sequestration, originating from the abdominal aorta.
Findings:
- Surgical resection (right S10 segmentectomy) confirmed intralobar pulmonary sequestration.
- Bacterial and microscopic analysis of the resected specimen revealed co-existing asymptomatic aspergillosis.
Implications:
- This case underscores the importance of surgical intervention for intralobar pulmonary sequestration, regardless of symptom presentation.
- Early diagnosis and treatment are crucial for managing complex pulmonary conditions and preventing potential sequelae.