Spyratos Dionisios, Kalpakidis Vasilios, Giouleka Paschalina, Chloros Diamantis, Sichletidis Lazaros
Pulmonary Department, Aristotle University of Thessaloniki, Thessaloniki, Greece.
BMJ Case Rep. 2011 May 3;2011:bcr0820103209. doi: 10.1136/bcr.08.2010.3209.
Bronchopulmonary sequestration is a congenital pulmonary malformation consisting of a non-functioning region of lung parenchyma that receives systemic arterial blood supply. The authors present the case of a 31-year-old male who presented with spontaneous pneumothorax as the initial clinical manifestation of an intralobar bronchopulmonary sequestration. There was a persistent air leak through the chest tube which remained in the pleural cavity for 12 days. CT revealed an area of increased opacity, with focal calcifications and a small eccentric cavity in the posterior basal region of the left lower lobe. Aortography established the final diagnosis.
支气管肺隔离症是一种先天性肺畸形，由接受体循环动脉血供的无功能肺实质区域组成。作者报告了一例31岁男性病例，其以自发性气胸作为叶内型支气管肺隔离症的初始临床表现。胸腔引流管在胸腔内留置12天，期间持续有漏气。CT显示左下叶后基底区域有一片密度增高影，伴有局灶性钙化和一个小的偏心空洞。主动脉造影术确立了最终诊断。
