Aryal Krishnaraj, Regmi Pradeep Raj, Adhikari Gauri, Karki Ruchi, Dhakal Prajwal
Department of Radiology, Institute of Medicine, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
Department of Medicine, Nepalese Army Student of Health Science- College of Medicine, Kathmandu, Nepal.
Radiol Case Rep. 2023 Sep 14;18(11):4145-4148. doi: 10.1016/j.radcr.2023.08.089. eCollection 2023 Nov.
Pulmonary sequestration is a relatively rare phenomenon characterized by nonfunctional lung tissue supplied by one or more systemic arteries without direct connection to the tracheobronchial tree. Intra-lobar pulmonary sequestration comprises 75% of the total pulmonary sequestrations. Most patients with pulmonary sequestrations are often diagnosed with a childhood chest infection, so pulmonary sequestration is considered a childhood disease. However, few cases are found in adults and the elderly, with or without symptoms, and imaging findings on computed tomography (CT) or magnetic resonance imaging (MRI) are variable due to infection and inflammation. Failure to diagnose and treat this condition may lead to recurrent pneumonia and fatal hemoptysis. In this case report, we present cases of pulmonary sequestration at extremes of ages, one at 12 and the other at 65.
肺隔离症是一种相对罕见的现象,其特征是由一条或多条体循环动脉供血的无功能肺组织,且与气管支气管树无直接连接。叶内型肺隔离症占所有肺隔离症的75%。大多数肺隔离症患者常因儿童期胸部感染而被诊断出来,因此肺隔离症被认为是一种儿童疾病。然而,在成人和老年人中也有少数病例,无论有无症状,由于感染和炎症,计算机断层扫描(CT)或磁共振成像(MRI)的影像学表现各不相同。未能诊断和治疗这种疾病可能导致反复肺炎和致命性咯血。在本病例报告中,我们展示了年龄极端的肺隔离症病例,一例为12岁,另一例为65岁。