ABSTRACT
El secuestro broncopulmonar es una anomalía congénita rara. La variedad intralobar representa el 75 % de los secuestros pulmonares y usualmente se presenta antes de los 20 años de edad. Se reportó una paciente de 59 años, con antecedentes de infecciones respiratorias bajas a repetición. En los estudios de imágenes de tórax se evidenció opacidad de contornos irregulares en hemitórax izquierdo. Fue intervenida quirúrgicamente con la sospecha de cáncer de pulmón y se realizó examen histopatológico del tejido pulmonar cuyos hallazgos macroscópicos y microscópicos se correspondieron con un secuestro intralobar.
Pulmonary sequestration is a rare congenital pulmonary malformation. Intralobar sequestrations account for 75% of all pulmonary sequestrations. Patients usually present it before the age of 20. A 59 years old female patient with a history of recurrent lower respiratory infections is reported here. In her chest imaging studies, irregular margins opacity was evident in her left hemithorax. She underwent surgery for suspected lung cancer. Diagnosis of intralobar sequestration was made after histopathological examination of the resected lung.
ABSTRACT
ObjectiveTo explore the classification,diagnosis,clinical features and surgical treatment of pulmonary sequestration.MethodsThe clinical data of 23 patients with pulmonary sequestration from 1985 to 2011 were retrospectively reviewed.ResultsFrom 1985 to 2011,23 patients with pulmonary sequestration were operated and were pathologically confirmed.There were 15 males and 8 females aged 9-48 years.Their disease course ranged from 1 month to 30 years.The pulmonary sequestration was in left lower lobe in 17 cases and right lower lobe in 6 cases.All cases were in base segment.21 cases suffered from intralobar sequestration and 2 cases suffered from extralobar sequestration.Twelve of 23 cases got confirmed preoperative diagnosis.All cases were cured.Follow-up was performed in 7 patients,and no long-term complication was noted.ConclusionPulmonary sequestration is rare pulmonary congenitaldeformity.CTA is the most helpful for diagnosis.Surgery can achieve good outcomes.