Intralobar Pulmonary Sequestration with Aberrant Venous Drainage

2019 ◽  
pp. 147-149
Author(s):  
Julia Coughlin ◽  
Christopher W. Seder
2018 ◽  
Vol 7 (3) ◽  
pp. 205846011875757
Author(s):  
Rizwana Yasmin ◽  
Dorte R Stærk ◽  
Anna Kalhauge ◽  
Henrik J Hansen ◽  
Tina E Olsen ◽  
...  

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.


2021 ◽  
Vol 14 (3) ◽  
pp. e239140
Author(s):  
Muhammad Shafiq ◽  
Amjad Ali ◽  
Ujaas Dawar ◽  
Niranjan Setty

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.


2021 ◽  
Vol 9 (1) ◽  
pp. 10-10
Author(s):  
Sercan Özkaçmaz ◽  
Muhammed Bilal Akıncı ◽  
Mesut Özgökçe ◽  
İlyas Dündar ◽  
Fatma Durmaz ◽  
...  

Backgrounds: Bronchopulmonary sequestration (BPS) is a rare congenital anomaly of the lung that has two different types as intralobar and extralobar. In this study, we aimed to present six cases of intralobar sequestration with atypical findings in terms of feeding, drainage and, localization. Methods: Patients diagnosed with intralobar pulmonary sequestration in our clinic between 2015-2019 were evaluated retrospectively. Demographical features and atypical Computed Tomography (CT) findings of the patients were presented by literature. Results: Among 45 patients with intralobar sequestration, six ones (13.3%) (5 males and 1 female) with a mean age of 43.5±25.4 (0-78) years old) had atypical pulmonary findings on CT images. Atypical features regarding arterial supply was detected in 8.9%, venous drainage in 2.2%, location in 4.4%, radiological appearance ın 4.4% and co-existing lesion in 2.2% of the patient with intralobar sequestration. Conclusion: Typical and atypical features of pulmonary sequestration must be well-known for differential diagnosis of solid or cystic pulmonary lesions.


PEDIATRICS ◽  
1990 ◽  
Vol 86 (4) ◽  
pp. 620-623
Author(s):  
BEVERLEY NEWMAN

Pulmonary sequestrations are congenital masses of aberrant, nonfunctioning pulmonary tissue that usually do not connect with the bronchial tree and derive their arterial blood supply from systemic vessels, most often the distal thoracic or upper abdominal aorta. The majority of sequestrations are intralobar and contained within the visceral pleura of the normal lung; these usually have their venous drainage to the pulmonary venous system. Extralobar sequestrations have a separate pleural covering and usually drain to systemic veins or the portal venous system.1-3 Patients most often come to clinical attention with repeated respiratory infections.2 The sequestered segment is usually visualized radiographically as a nonaerated opacity at the medial lung base, more often left-sided.


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