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一名无症状年轻男性叶内型肺隔离症的偶然诊断:病例报告

Incidental diagnosis of intra-lobar pulmonary sequestration in an asymptomatic young male: A case report.

作者信息

Duwadee Prabin, Sharma Suraj, Bam Prabin Kumar, Bhusal Amrit, Yogi Tek Nath, Khatri Tilak, Aryal Sajiva, Shrestha Pratick

机构信息

Department of Internal Medicine, Chitwan Medical College (CMC), Bharatpur, Chitwan, Nepal.

Department of Radiology, National Academy of Medical Sciences (NAMS), Kathmandu, Nepal.

出版信息

Radiol Case Rep. 2025 Jan 7;20(3):1703-1707. doi: 10.1016/j.radcr.2024.12.004. eCollection 2025 Mar.

Abstract

Bronchopulmonary sequestration is an uncommon abnormality of the respiratory system that often manifests as recurrent pneumonia in childhood or as an incidental discovery on thoracic imaging in adults. The sequestration receives its blood supply from anomalous systemic circulation in contrast to pulmonary circulation and can manifest in either intrapulmonary or extrapulmonary forms. We discuss the instance of a young asymptomatic man who visited us seeking for medical clearance to travel abroad. An opacity was discovered on the chest X-ray, which was followed by a contrast-enhanced CT scan that revealed a well-defined, lobulated soft tissue attenuating lesion in the left lower hemithorax suggesting pulmonary sequestration.

摘要

肺隔离症是一种少见的呼吸系统异常,在儿童期常表现为反复肺炎,在成人则常为胸部影像学检查时偶然发现。与肺循环不同,隔离肺由异常体循环供血,可表现为肺内型或肺外型。我们讨论了一名年轻无症状男性的病例,他前来我院寻求出国旅行的医学证明。胸部X线检查发现一处不透明影,随后的增强CT扫描显示左下半胸有一个边界清晰、分叶状的软组织密度减低病变,提示为肺隔离症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf16/11760790/d5c3c0b0a6e0/gr1.jpg

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