Naffaa Lena, Tank Jay, Ali Sara, Ong Cesar
Department of Radiology, Akron Children's Hospital, Akron, Ohio, USA.
Department of Radiology, Harlem Hospital, New York, New York, USA.
J Radiol Case Rep. 2014 Oct 31;8(10):32-9. doi: 10.3941/jrcr.v8i10.2235. eCollection 2014 Oct.
We report a case of bronchopulmonary sequestration (BPS) in a 60 year old man with recurrent cough. After failed antibiotic therapy for presumed left lower lobe (LLL) pneumonia seen on chest radiographs, bronchoscopy was performed revealing cryptogenic organizing pneumonia. Further work-up with thoracic imaging demonstrates a feeding artery from the thoracic aorta to the LLL consolidation indicating the presence of BPS. A brief review of the clinical and radiological features and management options of BPS are listed, with particular emphasis on the various imaging modalities and techniques in the diagnosis and pre-surgical planning of intralobar sequestration.
我们报告一例60岁复发性咳嗽男性的支气管肺隔离症(BPS)病例。胸部X线片显示左下叶(LLL)肺炎,抗生素治疗无效后,行支气管镜检查发现隐源性机化性肺炎。进一步的胸部影像学检查显示一条从胸主动脉至LLL实变区的供血动脉,提示存在BPS。本文列出了BPS的临床和放射学特征及治疗选择的简要综述,特别强调了叶内型隔离症诊断和术前规划中的各种成像方式和技术。