Saddekni Souheil, Abouateya Amr Ahmed, Ibrahim Rafik Mohamed, Hamed Maysoon Farouk, Moawad Sherif Magdy, Abouarab Ahmed Anwar, Abdel Aal Ahmed Kamel
Department of Radiology, University of Alabama at Birmingham, 619 19th Street South, Birmingham, AL 35249.
Department of Family Medicine, University of Alabama at Birmingham, 619 19th Street South, Birmingham, AL 35249.
Radiol Case Rep. 2017 Aug 8;12(4):780-785. doi: 10.1016/j.radcr.2017.06.014. eCollection 2017 Dec.
We present the case of a 54-year-old male patient diagnosed with a right upper lobe lung cancer and was referred for resection. Positron emission tomography-computed tomography scan showed a prominent vascular structure in the right lung, suspicious for vascular malformation. A computed tomography angiography was done, demonstrating an intercostobronchial trunk-pulmonary artery fistula. There was also non-tapering dilated wandering pulmonary artery coursing through the right lower lung without any abnormal connection with pulmonary veins and were supplying normal lung parenchyma. Amplatzer vascular plugs were used for the treatment of the intercostobronchial trunk-pulmonary artery fistula. Our case highlights these very rare vascular anomalies, and their management.
我们报告一例54岁男性患者，被诊断为右上叶肺癌并被转诊接受切除术。正电子发射断层扫描-计算机断层扫描显示右肺有一个突出的血管结构，怀疑是血管畸形。进行了计算机断层血管造影，显示肋间支气管干-肺动脉瘘。还有一条无逐渐变细的扩张迂曲肺动脉穿过右下肺，与肺静脉无任何异常连接，并为正常肺实质供血。使用Amplatzer血管封堵器治疗肋间支气管干-肺动脉瘘。我们的病例突出了这些非常罕见的血管异常及其处理方法。
