Hussain Shabbir, Ahmed Shoaib, Awais Ul Hassan Shah Syed, Tarar Saba Haider
Consultant Paediatrician, Combined Military Hospital, Peshawar, Pakistan.
Paediatric Medicine, Combined Military Hospital, Peshawar, Pakistan.
J Pak Med Assoc. 2017 Feb;67(2):311-313.
Bronchopulmonary sequestration is one of the rare thoracic congenital anomalies. We report the case of a 6 year old boy with history of recurrent episodes of chest infection and breathing difficulty. This time admitted with fever and cough. Investigations revelaed neutrophilic leucocytosis, raised C-reactive protein and a retrocardiac opacity on chest radiographs. Contrast enhanced Computed Topography(CT scan) revealed a large, well defined, left lower lobe multi-loculated cystic mass with a vessel arising from the descending aorta supplying sequestrated lung portion. These CT scan findings were suggestive of diagnosis of an intralobar bronchopulmonary sequestration (IPS). Surgical resection of this opacity was done and histopathology report confirmed the diagnosis of bronchopulmonary sequestration.
支气管肺隔离症是一种罕见的胸部先天性异常。我们报告一例6岁男孩,有反复胸部感染和呼吸困难病史。此次因发热和咳嗽入院。检查发现中性粒细胞增多、C反应蛋白升高,胸部X线片显示心后区有一不透光区。增强计算机断层扫描(CT扫描)显示左肺下叶有一个大的、边界清晰的多房性囊性肿块,有一条血管发自降主动脉,为隔离的肺组织供血。这些CT扫描结果提示诊断为叶内型支气管肺隔离症(IPS)。对该不透光区进行了手术切除,组织病理学报告证实了支气管肺隔离症的诊断。