Kacem Amani, Jazia Rahma Ben, Kharrat Imen, Blel Sami, Maatallah Anis, Ayachi Jihene, Braiek Dhouha Ben, Zorgati Hend, Ali Yosri Ben, Gaddour Asma, Aissa Sana
Pneumology Department, University Hospital Ibn Jazzar, Kairouan, Tunisia.
Intensive Care Unit, University Hospital Ibn Jazzar, Kairouan, Tunisia.
Pan Afr Med J. 2024 Aug 27;48:185. doi: 10.11604/pamj.2024.48.185.44767. eCollection 2024.
Pulmonary sequestration (PS) is a rare congenital malformation where abnormal lung tissue lacks a connection to the airways and receives blood supply from systemic arteries. This case report describes a 30-year-old man with recurrent hemoptysis diagnosed with intralobar PS (ILS) as the cause. He underwent video-assisted thoracoscopic surgery to clip and section the aberrant artery, resulting in a successful outcome with no further bleeding. The case emphasizes considering ILS in diagnosing hemoptysis, even in adults with atypical presentations, and highlights the utility of CT angiography in identifying the abnormal blood supply for definitive diagnosis and guiding minimally invasive surgical treatment.
肺隔离症（PS）是一种罕见的先天性畸形，其中异常肺组织与气道无连接，并由体循环动脉供血。本病例报告描述了一名30岁反复咯血的男性，诊断为叶内型肺隔离症（ILS）为病因。他接受了电视辅助胸腔镜手术，夹闭并切断异常动脉，结果成功，未再出血。该病例强调，即使在表现不典型的成人中，诊断咯血时也应考虑ILS，并突出了CT血管造影在识别异常供血以进行明确诊断和指导微创手术治疗方面的作用。
