Khandelwal Shreya, Mittal Aman, Sharma Shruti, Prasad Abhishek, Singh Roshan, Shah Anil, Lageju Nimesh
B.P. Koirala Institute of Health Sciences, Dharan.
Department of Radiology, SGT Medical College Hospital, Delhi.
Ann Med Surg (Lond). 2024 Apr 11;86(6):3641-3645. doi: 10.1097/MS9.0000000000002028. eCollection 2024 Jun.
Pulmonary sequestration (PS) is a rare congenital anomaly characterized by aberrant formation of nonfunctional lung tissue with anomalous systemic blood supply. Despite its rarity, PS presents significant diagnostic and management challenges, often necessitating a multidisciplinary approach for optimal patient outcomes. This case report provides insights into the clinical presentation, diagnostic modalities, and management strategies for PS.
The authors present a case of a 30-year-old male who complained of chronic cough and hemoptysis and was eventually diagnosed with intralobar PS by computed tomography (CT) imaging. The patient underwent a surgical procedure, specifically a lobectomy, to address the lung tissue.
The diagnosis of intralobar PS is confirmed by CT imaging, showing features of abnormalities, including irregular cystic communication. A large area with abnormal systemic arterial supply and variable venous fluid. This patient presented with symptoms consistent with PS, including chronic cough and hemoptysis, highlighting the importance of timely diagnosis and intervention to prevent life-threatening complications.
Lung sequestration has diagnostic challenges due to its variable clinical presentation and potential for misdiagnosis. However, advances in technology, such as CT angiography, make accurate diagnosis and precise surgical planning easier. Prompt intervention via lobectomy or transarterial embolization is important to reduce the risk of life-threatening complications associated with PS. These data highlight the importance of multidisciplinary collaboration between physicians, radiologists, and surgeons to effectively manage PS and improve patient outcomes.
肺隔离症（PS）是一种罕见的先天性异常，其特征为形成无功能的肺组织且伴有异常的体循环供血。尽管罕见，但PS带来了重大的诊断和管理挑战，通常需要多学科方法以实现最佳的患者预后。本病例报告深入探讨了PS的临床表现、诊断方式及管理策略。
作者报告了一例30岁男性患者，该患者主诉慢性咳嗽和咯血，最终通过计算机断层扫描（CT）成像被诊断为叶内型PS。患者接受了外科手术，即肺叶切除术，以处理肺部组织。
叶内型PS的诊断通过CT成像得以证实，显示出异常特征，包括不规则的囊性连通、存在异常体循环动脉供血的大面积区域以及可变的静脉引流。该患者表现出与PS相符的症状，包括慢性咳嗽和咯血，突出了及时诊断和干预以预防危及生命并发症的重要性。
肺隔离症因其临床表现多样及存在误诊可能性而具有诊断挑战。然而，诸如CT血管造影等技术的进步使准确诊断和精确的手术规划变得更容易。通过肺叶切除术或经动脉栓塞进行及时干预对于降低与PS相关的危及生命并发症的风险很重要。这些数据突出了医生、放射科医生和外科医生之间多学科协作对于有效管理PS及改善患者预后的重要性。
