scholarly journals Rare cause of haemoptysis: bronchopulmonary sequestration

2021 ◽  
Vol 14 (3) ◽  
pp. e239140
Author(s):  
Muhammad Shafiq ◽  
Amjad Ali ◽  
Ujaas Dawar ◽  
Niranjan Setty
Keyword(s):  
Imaging Modality ◽  
Lower Lobe ◽  
Pulmonary Sequestration ◽  
Venous Drainage ◽  
Systemic Circulation ◽  
Tracheobronchial Tree ◽  
Recurrent Infections ◽  
Bronchopulmonary Sequestration ◽  
Intralobar Pulmonary Sequestration ◽  
Lower Airways

Bronchopulmonary sequestration is a rare congenital pulmonary abnormality of the lower airways, which includes an abnormal and non-functioning lung tissue not communicating with the tracheobronchial tree and having aberrant blood supply from systemic circulation with variable venous drainage. The incidence of sequestration is around 0.15%–6.4% of all congenital lung malformations.Common presenting features are cough and expectoration. Misdiagnosed cases may present with recurrent infections and haemoptysis. CT of the chest with contrast is the imaging modality of choice.This is a case report of a 32-year-old woman who presented with cough and haemoptysis. CT of the chest showed a multiloculated mass-like lesion in the left lower lobe with a feeding artery from coeliac plexus and venous drainage via the normal left pulmonary vein.Based on CT chest findings, diagnosis of intralobar pulmonary sequestration was made. The patient was reviewed by cardiothoracic surgeons and underwent surgical resection of the sequestrated lung.Common presenting features are cough and expectoration. Misdiagnosed cases may present with recurrent infections and haemoptysis. CT of the chest with contrast is the imaging modality of choice.

scholarly journals Non-invasive diagnosis in a case of bronchopulmonary sequestration and proposal of diagnostic algorhythm

2016 ◽  
Vol 70 (3) ◽  
Author(s):  
P. Caradonna ◽  
M. Bellia ◽  
F. Cannizzaro ◽  
S. Regio ◽  
M. Midiri ◽  
...  
Keyword(s):  
Lower Lobe ◽  
Maximum Intensity Projection ◽  
Pulmonary Sequestration ◽  
Venous Drainage ◽  
Tracheobronchial Tree ◽  
Arterial Phase ◽  
Non Invasive ◽  
Multiplanar Reconstructions ◽  
Adjacent Structures ◽  
Anomalous Venous Drainage

The case of a 43-year-old woman with intralobar pulmonary sequestration, Pryce type one, is presented. The medical history was characterised by recurrent bronchopneumonia, productive cough with purulent sputum and hemoptysis in the last three years. Diagnosis was made by CT angiography: multiplanar, maximum intensity projection and volume rendering reconstructions were visualised. A volume reduction of middle and lower lobe with multiple cyst-like bronchiectasis was detected and no evident relationship with tracheobronchial tree was pointed out. Reconstructions aimed at evaluating bronchial structures demonstrated no patency of middle and lower lobar bronchi. The study carried out after contrast medium infusion in arterial phase showed a vascular disorder characterised by an accessory arterial branch arising from the upper portion of thoracic aorta which, after moving caudally to pulmonary hilus with a tortuous course, supplied the atelectatic parenchyma. No anomalous venous drainage was detected. The patient underwent surgery with resection of two pulmonary lobes. CT compares favourably with other alternative imaging technique for pulmonary sequestration as multiplanar reconstructions allow not only the detection of supplying vessel, but also the accurate description of heterogeneous characteristics of the mass and adjacent structures. Finally an imaging-based diagnostic algorhythm is proposed.

scholarly journals Intralobar pulmonary sequestration in right lower lobe with secondary infection in an adult male

2014 ◽  
Vol 63 (1) ◽  
pp. 273-275 ◽  
Author(s):  
Amita Yadav ◽  
Rajendra Mohan Mathur ◽  
Sanjeev Devgarha ◽  
Viju Joseph Abraham ◽  
Anula Sisodia ◽  
...  
Keyword(s):  
Adult Male ◽  
Secondary Infection ◽  
Lower Lobe ◽  
Pulmonary Sequestration ◽  
Intralobar Pulmonary Sequestration

scholarly journals Intralobar Pulmonary Sequestratıon as an Unusual Cause of Recurrent Hemoptysis

2012 ◽  
Vol 2 ◽  
pp. 71 ◽  
Author(s):  
Servet Kayhan ◽  
Burçin Çelik ◽  
Umit Belet ◽  
Oguz Aydin
Keyword(s):  
Lower Lobe ◽  
Pulmonary Sequestration ◽  
Lung Parenchyma ◽  
Preoperative Imaging ◽  
Massive Hemoptysis ◽  
Surgical Interventions ◽  
Cystic Lung ◽  
Intralobar Pulmonary Sequestration ◽  
Uncommon Case ◽  
Tracheobronchial System

Pulmonary sequestration is an embryonic, cystic lung tissue that is supplied by systemic blood circulation. It is a nonfunctional lung parenchyma unconnected to normal tracheobronchial system. In cases of pulmonary sequestration, surgical interventions should be performed in order to prevent possible complications such as massive hemoptysis and infections. Preoperative imaging and treatment planning should be done carefully. We present an uncommon case of recurrent hemoptysis caused by intralobar pulmonary sequestration located in the left lower lobe.

Use of Amplatzer Vascular Plugs for the treatment of combined extralobar and intralobar pulmonary sequestration in a 5-year-old child

2016 ◽  
Vol 26 (7) ◽  
pp. 1441-1444 ◽  
Author(s):  
Carrie E. Herbert ◽  
Surendranath R. Veeram Reddy ◽  
Matthew S. Lemler
Keyword(s):  
Heart Failure ◽  
Respiratory Symptoms ◽  
Pulmonary Sequestration ◽  
Normal Lung ◽  
Visceral Pleura ◽  
Recurrent Infections ◽  
Rare Congenital Anomaly ◽  
Extralobar Pulmonary Sequestration ◽  
Intralobar Pulmonary Sequestration ◽  
Transcatheter Embolisation

AbstractPulmonary sequestration is a rare congenital anomaly that can be asymptomatic or present with recurrent infections, respiratory symptoms, or rarely heart failure. Sequestration is classified as intralobar or extralobar on the basis of whether there is separation from normal lung tissue by its own visceral pleura. Classically, patients are treated with surgical resection. We present a case of multivessel, combined intralobar and extralobar pulmonary sequestration treated with transcatheter embolisation.

Sequestration

Chest Imaging ◽  
2019 ◽  
pp. 523-526
Author(s):  
Kristopher W. Cummings
Keyword(s):  
Blood Supply ◽  
Incidental Finding ◽  
Adult Population ◽  
Venous Drainage ◽  
Systemic Circulation ◽  
Tracheobronchial Tree ◽  
Pulmonary Tissue ◽  
Arterial Blood ◽  
Characteristic Features ◽  
Super Infection

Sequestration refers to nonfunctioning pulmonary tissue that is isolated from the tracheobronchial tree and derives its arterial blood supply from the systemic circulation. Intralobar sequestrations are more commonly encountered in the adult population and are characterized by a lack of a separate pleural covering and frequent pulmonary venous drainage. In contrast, extralobar sequestrations are commonly diagnosed in childhood and are surrounded by a separate covering (typically the pleura) with frequent systemic venous drainage. Sequestrations may be encountered in asymptomatic adults as an incidental finding, and may mimic malignancy. Sequestrations may also be found in symptomatic adults because of repeated super-infection. Characteristic features on CT and MR are emphasized in this chapter.

scholarly journals A Patient with an Aberrant Pulmonary Blood Supply and Recurrent Infection

2010 ◽  
Vol 17 (4) ◽  
pp. e94-e95 ◽  
Author(s):  
Radu Pescarus ◽  
George Rakovich ◽  
Denise Ouellette ◽  
Gilles Beauchamp
Keyword(s):  
Surgical Resection ◽  
Correct Diagnosis ◽  
Recurrent Infection ◽  
Pulmonary Sequestration ◽  
Tracheobronchial Tree ◽  
Direct Connection ◽  
Imaging Studies ◽  
Systemic Artery ◽  
Intralobar Pulmonary Sequestration ◽  
Aberrant Artery

A case of intralobar pulmonary sequestration presenting with recurrent episodes of infection is reported. Pulmonary sequestration is a rare congenital malformation characterized by accessory lung tissue with no direct connection to the tracheobronchial tree and is supplied by an aberrant systemic artery. The aberrant artery is key to both diagnosis and treatment. The correct diagnosis may be suspected on clinical grounds and should be confirmed by identifying the lesion and aberrant artery on imaging studies. Surgical resection is curative, taking particular care not to injure the aberrant artery, which may result in devastating intraoperative hemorrhage.

scholarly journals Pulmonary sequestration mimicring lun cancer: A case report

2016 ◽  
Vol 73 (11) ◽  
pp. 1060-1063
Author(s):  
Tatjana Adzic-Vukicevic ◽  
Dragan Radovanovic ◽  
Bojana Acimovic ◽  
Marko Popovic
Keyword(s):  
Case Report ◽  
Gold Standard ◽  
Lower Lobe ◽  
Pulmonary Sequestration ◽  
Left Lower Lobe ◽  
Intravenous Contrast ◽  
Therapy Regimen ◽  
Intralobar Pulmonary Sequestration ◽  
Aberrant Artery ◽  
Malignant Lesions

Introduction. Pulmonary sequestration is a rare congenital anomaly and most intralobar sequestrations were located in lower lobes. Case report. We reported an unusual 28-yearold female patient with intralobar pulmonary sequestration on the left lower lobe, successfully treated with lobectomy. Computed tomography (CT) of the chest with intravenous contrast revealed multiple clustered cystic lesions in the left lower lobe with aberrant artery from descedenting aorta. Additional aortography showed an aberrant artery (3 mm in diameter) arising from the abdominal aorta and flowing into the lesion. Conclusion. Standard therapy regimen for pulmonary sequestration includes surgery. CT scan of thorax with intravenous contrast and aortography represent the gold standard for its diagnosis. Tumor-like shadows seen on the chest radiography or CT scans should not be always suspected on malignant lesions.

scholarly journals Role of CT angiography in bilateral pulmonary sequestration: a case report

2018 ◽  
Vol 7 (3) ◽  
pp. 205846011875757
Author(s):  
Rizwana Yasmin ◽  
Dorte R Stærk ◽  
Anna Kalhauge ◽  
Henrik J Hansen ◽  
Tina E Olsen ◽  
...  
Keyword(s):  
Wedge Resection ◽  
Pulmonary Veins ◽  
Three Dimensional ◽  
Pulmonary Sequestration ◽  
Venous Drainage ◽  
Vital Role ◽  
Vats Lobectomy ◽  
3D Images ◽  
Intralobar Pulmonary Sequestration ◽  
The Right

Bilateral pulmonary sequestration (PS) is a very rare congenital malformation. We describe a case of bilateral intralobar pulmonary sequestration (ILS) in a newborn. Both sequestrations received arterial supply from separate branches of the descending aorta and venous drainage was into ipsilateral inferior pulmonary veins. Prenatal ultrasonography showed cystic changes in the lungs. Computed tomography angiography (CTA) with supplemental two-dimensional (2D) and three-dimensional (3D) images was performed to clearly define the pathology and revealed bilateral intralobar pulmonary sequestration with aberrant blood supply. The child underwent successful video-assisted thoracoscopic surgical (VATS) lobectomy on the left side and thoracoscopic wedge resection on the right side. There were no complications. CTA with supplemental 2D and 3D images plays a vital role in revealing the exact pathology in congenital pulmonary malformations associated with anomalous vasculature.

scholarly journals Diagnosis of Intra-Abdominal Extralobar Pulmonary Sequestration by means of Ultrasound in a Neonate

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
Claudio Rodrigues Pires ◽  
Adriano Czapkowski ◽  
Edward Araujo Júnior ◽  
Sebastião Marques Zanforlin Filho
Keyword(s):  
Abdominal Mass ◽  
Pulmonary Sequestration ◽  
Systemic Circulation ◽  
Vascular Supply ◽  
Tracheobronchial Tree ◽  
Left Adrenal Gland ◽  
Pulmonary Tissue ◽  
Extralobar Pulmonary Sequestration ◽  
Anomalous Artery ◽  
Normal Lungs

Pulmonary sequestration is a congenital abnormality consisting of a mass of pulmonary tissue that presents an abnormal connection with the tracheobronchial tree, with a blood supply coming from an anomalous artery derived from the systemic circulation. Extralobar pulmonary sequestration is characterized by having pleural coverings that are independent of the normal lungs, with vascular supply usually coming from the aorta or from one of its branches. This diagnosis can be suspected prenatally if an abdominal mass, generally below the diaphragm, is seen. Here, we present a case of a neonate on the second day of life, with ultrasonography showing extralobar pulmonary sequestration located above the left adrenal gland that prenatally simulated a neuroblastoma.

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