Pinto Filho Darcy Ribeiro, Avino Alexandre José Gonçalves, Brandão Suzan Lúcia Brancher
Serviço de Cirurgia Torácica, Hospital Geral de Caxias do Sul, Fundação Universidade de Caxias do Sul, RS, Brazil.
J Bras Pneumol. 2009 Jan;35(1):99-102. doi: 10.1590/s1806-37132009000100015.
Pulmonary sequestration is an uncommon condition that accounts for 0.5-6% of all pulmonary malformations and is typically diagnosed in childhood. Of the two forms of pulmonary sequestration, intralobar and extralobar, the latter is less frequently encountered. The current report describes the case of a 32-year-old female patient with chest and abdominal pain. Imaging (chest X-rays and CT scans of the chest) revealed consolidation and pleural effusion. The initial thoracocentesis revealed hemothorax. Subsequent diagnostic video-assisted thoracoscopy revealed extralobar pulmonary sequestration. Consequently, the therapeutic decision was to make the conversion to thoracotomy in order to resect the lesion and safely ligate the intercostal vascular pedicle.
肺隔离症是一种罕见疾病，占所有肺畸形的0.5%-6%，通常在儿童期被诊断出来。在肺隔离症的两种类型中，即叶内型和叶外型，后者较少见。本报告描述了一名32岁女性患者出现胸痛和腹痛的病例。影像学检查（胸部X光和胸部CT扫描）显示有实变和胸腔积液。最初的胸腔穿刺显示为血胸。随后的诊断性电视辅助胸腔镜检查发现为叶外型肺隔离症。因此，治疗方案是转为开胸手术，以切除病变并安全结扎肋间血管蒂。
