Division of Thoracic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA.
Ann Thorac Surg. 2010 Jun;89(6):2017-9. doi: 10.1016/j.athoracsur.2009.11.044.
We present a rare case of coexisting intralobar pulmonary sequestration and ipsilateral subphrenic extralobar sequestration in a 40-year-old woman. This variant of duplicated sequestration is very rare, although cases of simultaneous intralobar and extralobar sequestration have been reported, as have rare instances of subphrenic sequestration. In this case, preoperative imaging defined both intralobar and extralobar sequestrations, and after lobectomy for the symptomatic intralobar sequestration, the asymptomatic subdiaphragmatic sequestration is being managed conservatively.
我们报告了一例罕见的 40 岁女性同时患有肺叶内型隔离肺和同侧膈下型副肺隔离症的病例。这种双重隔离肺的变异型非常罕见,尽管已经报道了同时存在肺叶内型和肺叶外型隔离肺的病例,以及罕见的膈下型隔离肺的病例。在本例中,术前影像学明确了肺叶内型和肺叶外型隔离肺的存在,在对有症状的肺叶内型隔离肺进行肺叶切除术后,无症状的膈下型隔离肺正在保守治疗。