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Abstract
Pulmonary sequestration is a rare congenital anomaly of the lung in which it is separately supplied from the aorta or one of its branches. Bilateral pulmonary sequestration is very rare, particularly in adults. In bilateral pulmonary sequestration, resection of both sides is usually recommended if both sides are infected and symptomatic. We report the case of a 37-year-old female patient with bilateral intralobar pulmonary sequestration treated by staged bilateral lower lobectomy.
Figures and Tables
Figure 1
The initial chest x-ray showed cystic cavitary lesion at both lower lung field and air-fluid level with extensive consolidation in left lung base.
Figure 2
(A) The initial chest CT showed multiseptated cystic mass in both lower lobe with fluid collection, prominent systemic collaterals from descending thoracic aorta supply to the both lower lobe. (B) Selective aortogram showed the aberrant systemic artery supplying to sequestered lung in both lower lobe from descending thoracic aorta. CT: computed tomography.
Figure 3
(A) Gross resected specimen of both lower lobe showed multiseptated cystic masses which filled with pus and hemorrhage (right lower lobe [upper] & left lower lobe [lower]). (B) Microscopic findings showed intralobal sequestration with cystic degeneration, with acute and chronic inflammation (H&E stain, ×200).
References
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