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一例肺脓肿罕见病因:叶内型支气管肺隔离症。

A Case of an Uncommon Cause of Pulmonary Abscess: Intralobar Bronchopulmonary Sequestration.

作者信息

O'Brien Matthew, Ireland Max Edward, Hollings Nick, Elzain Osama

机构信息

South West Imaging Training Academy, Plymouth, UK.

Department of Radiology, University Hospital Plymouth NHS Trust, Plymouth, UK.

出版信息

J Chest Surg. 2025 May 5;58(3):114-117. doi: 10.5090/jcs.25.004. Epub 2025 Apr 15.

Abstract

A patient in her early 20s presented with a cough and elevated inflammatory markers. A chest radiograph revealed an abnormal opacity in the right lower zone. Subsequent computed tomography showed an abscess in the right lower lobe that was fed by an anomalous vessel arising from the aorta. These findings were consistent with intralobar sequestration complicated by abscess formation. The patient was treated with antibiotics and discharged home, with plans for elective embolization and lobectomy under the care of the cardiothoracic surgeons. A literature review revealed a limited body of work on pulmonary sequestrations, with very few reported cases involving similar presentations. Thus, our case represents a rare and important addition to the literature.

摘要

一名20岁出头的患者出现咳嗽和炎症指标升高。胸部X光片显示右下区有异常阴影。随后的计算机断层扫描显示右下叶有一个脓肿,由一根发自主动脉的异常血管供血。这些发现符合叶内型肺隔离症并伴有脓肿形成。患者接受了抗生素治疗后出院,计划在心胸外科医生的护理下进行择期栓塞和肺叶切除术。文献综述显示关于肺隔离症的研究有限,很少有报道涉及类似表现的病例。因此,我们的病例是该文献中一个罕见且重要的补充。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b824/12066396/fd656db8d410/jcs-58-3-114-f1.jpg

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