Naumeri Fatima, Sajjad Muhammad Nadeem
Department of Pediatric Surgery, King Edward Medical University, Lahore.
J Coll Physicians Surg Pak. 2018 Sep;28(9):S204-S206. doi: 10.29271/jcpsp.2018.09.S204.
We report a rare case of bronchopulmonary extralobar sequestration in a 9-year girl mimicking pulmonary tuberculosis. Patient had recurrent chest infections and two episodes of massive hemoptysis. Preoperative x-ray chest showed an opacity in left lower lobe and computed tomography-aortogram showed that the lesion had systemic arterial supply from celiac trunk. Diagnosis of pulmonary sequestration was made and left lateral muscle sparing thoracotomy was planned. Intraoperatively, extralobar sequestration was found with dual systemic blood supply. Histopathology confirmed it to be a hybrid lesion.
我们报告了一例罕见的9岁女童支气管肺叶外型隔离症，表现类似肺结核。该患者反复出现胸部感染，并发生过两次大量咯血。术前胸部X线显示左肺下叶有一处不透明区，计算机断层扫描主动脉造影显示该病变由腹腔干提供体循环动脉血供。诊断为肺隔离症，并计划进行左侧保留肌肉的开胸手术。术中发现叶外型隔离症有双重体循环血供。组织病理学证实其为混合性病变。
