Vasireddy Anila, Venkatesan Aadithiyavikram, Gonuguntla Akhilesh, Maramreddy Revanth, Rai Guruprasad D, Kamath Ganesh S, Bishnoi Arvind K
Department of Cardiovascular and Thoracic Surgery, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Proc (Bayl Univ Med Cent). 2022 May 2;35(4):552-554. doi: 10.1080/08998280.2022.2062980. eCollection 2022.
Pulmonary sequestration is a rare bronchopulmonary foregut anomaly that occurs when a portion of the lung derives its blood supply from an aberrant vessel rather than the customary tracheobronchial supply. The sequestration can be classified as intralobar or extralobar. Most patients with intralobar sequestration are asymptomatic. Among symptomatic patients, presentations vary greatly, from fever, cough with expectoration, exertional dyspnea, pleuritic chest pain, and hemoptysis to eventual lung abscess or empyema. Contrast-enhanced computed tomography/computed tomography angiography is performed to determine the origin of the anomalous blood supply as well as the pathological manifestations involving the lobes. We present a patient with diagnosed intralobar sequestration who developed pulmonary tuberculosis of the sequestered lung tissue. The patient was successfully managed with long-term antitubercular therapy and left lower lobectomy with ligation of the anomalous vessel.
肺隔离症是一种罕见的支气管肺前肠畸形,发生于肺的一部分由异常血管而非通常的气管支气管供血时。肺隔离症可分为叶内型或叶外型。大多数叶内型肺隔离症患者无症状。有症状的患者表现差异很大,从发热、咳痰咳嗽、劳力性呼吸困难、胸膜炎性胸痛、咯血到最终形成肺脓肿或脓胸。进行对比增强计算机断层扫描/计算机断层扫描血管造影以确定异常供血的起源以及累及肺叶的病理表现。我们报告一例确诊为叶内型肺隔离症的患者,其隔离的肺组织发生了肺结核。该患者通过长期抗结核治疗以及左下肺叶切除术并结扎异常血管而成功治愈。