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PubMed · 2755747

Extralobar pulmonary sequestration presenting as intractable pleural effusion.

A Vade·L Kramer
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Abstract

A pre-term baby girl presented at birth with respiratory distress and pleural effusion on the left. A soft tissue mass was found via lateral x-ray and CT scan; the mass proved to be extralobar pulmonary sequestration.

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Bronchopulmonary SequestrationFemaleHumansInfant, Low Birth WeightInfant, NewbornInfant, PrematurePleural EffusionTomography, X-Ray ComputedCase ReportsJournal Article

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A Vade, L Kramer. 1989. Extralobar pulmonary sequestration presenting as intractable pleural effusion.. https://doi.org/10.1007/bf02467308

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[Pulmonary sequestrum--not infiltrate--in a 45-year-old woman].

A 45-year-old woman presented at the emergency room with acute dyspnoea and slight fever, without coughing. The chest radiography showed a consolidation in the lower left lobe. The CT scan revealed a consolidation in the posterior-basal segment of the lower left lobe without an air bronchogram but with various densities. Based on these findings, the possibility of pulmonary sequestration was considered. A CT scan showed an arterial branch arising from the aorta that supplied the consolidation, confirming pulmonary sequestration. The patient underwent resection of the intralobar sequestrum, after which she recovered and was asymptomatic. Pulmonary sequestration should be considered in any patient with pneumonia or recurrent pneumonia in the lower lobes of the lung, especially in the absence of an air bronchogram or signs of endobronchial obstruction. The treatment ofchoice is surgical resection.

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