Advertisement

Central European Journal of Medicine

, Volume 8, Issue 1, pp 103–106 | Cite as

A rare case of coexistent intralobar and extralobar pulmonary sequestration

  • Milos Arsenijevic
  • Slobodanka Mitrovic
  • Milos Z. Milosavljevic
  • Marina Petrovic
  • Predrag Djurdjevic
  • Slobodan Milisavljevic
Case Report

Abstract

In the pathology of respiratory tract, sequestration presents as a non-functional lung tissue with no communication with tracheobronchial tree. It represents a rare congenital bronchopulmonary and vascular malformation, which occurs at a frequency of 0.1 to 6%. Intralobar and extralobar sequestrations are extremely rare congenital anomalies, especially if they occur at the same time in a patient. Proper diagnosis and appropriate surgical therapy, in the absence of associated anomalies, provide an excellent prognosis. In this paper, we are describing the simultaneous presence of intralobar sequestration (ILS) in the lower lobe of the left lung and extralobar sequestration (ELS) which is positioned on the aortic arch, in a 53 years old man. Two years post surgery, there is no recurrence or any patomorphological and functional disorders in the respiratory tract.

Keywords

Bronchopulmonary sequestration Congenital abnormalities Lung Surgery 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. [1]
    Halkic N., Cuenoud P.F., Corhésy M.E., Ksontini R., Boumghar M., Pulmonary sequestration: a review of 26 cases, Eur J Cardiothorac Surg. 1998, 14, 127–133PubMedCrossRefGoogle Scholar
  2. [2]
    Griffin N., Devaraj A., Goldstraw P., Bush A., Nicholson A.G., Padley S., CT and histopathological correlation of congenital cystic pulmonary lesions: a common pathogenesis?, Clin Radiol. 2008, 63, 995–1005PubMedCrossRefGoogle Scholar
  3. [3]
    Pryce D.M., Lower accessory pulmonary artery with intralobar sequestration of lung: A report of seven cases, J Pathol Bacteriol. 1946, 58, 457–467PubMedCrossRefGoogle Scholar
  4. [4]
    Shibli M., Connery C., Shapiro JM., Intralobar and extralobar bronchopulmonary sequestration complicated by Nocardia asteroides infection, South Med J. 2003, 96, 78–80PubMedCrossRefGoogle Scholar
  5. [5]
    Bratu I., Flageole H., Chen M.F., Di Lorenzo M., Yazbeck S., Laberge J.M., The multiple facets of pulmonary sequestration, J Pediatr Surg. 2001, 36, 784–790PubMedCrossRefGoogle Scholar
  6. [6]
    Savic B., Birtel F.J., Tholen W. et al. Lung sequestration: report of seven cases and review of 540 published cases, Thorax. 1979, 34, 96–101PubMedCrossRefGoogle Scholar
  7. [7]
    Kestenholz P.B., Schneiter D., Hillinger S., Lardinois D. and Weder W., Thoracoscopic treatment of pulmonary sequestration, Eur J Cardiothorac Surg. 2006, 29, 815–818PubMedCrossRefGoogle Scholar
  8. [8]
    Van Raemdonck D., De Boeck K., Devlieger H., Demedts M., Moerman P., Coosemans W., Deneffe G., Lerut T., et al., Pulmonary sequestration: a comparison between pediatric and adult patients, Eur J Cardiothorac Surg. 2001, 19, 388–395PubMedCrossRefGoogle Scholar
  9. [9]
    Joy G.M., Abraham M.K., Bilateral communicating intralobar pulmonary sequestration, Indian Pediatr. 2005, 42, 729–730PubMedGoogle Scholar
  10. [10]
    Lewis M.M., Tsou E., A 66-year-old man with dyspnea, left lower lobe infiltrate, and abnormal imaging, Chest. 2000, 117, 1782–1786PubMedCrossRefGoogle Scholar
  11. [11]
    Ikezoe J., Murayama S., Godwin J.D., Done S.L., Verschakelen J.A., Bronchopulmonary sequestration: CT assessment, Radiology. 1990, 176, 375–379PubMedGoogle Scholar
  12. [12]
    Prasad R., Garg R., Kumar Verma S., Intralobar seqestration of the lung, Lung India. 2009, 26, 159–161PubMedCrossRefGoogle Scholar
  13. [13]
    Mendeloff E.N., Sequestrations, congenital cyctic adenomatic malformations, and congenital lobar emphysema, Semin Thorac Cardiovasc Surg. 2004, 16, 209–214PubMedCrossRefGoogle Scholar
  14. [14]
    Stocker J.T., Sequestrations of the lung, Semin Diagn Pathol. 1986, 3, 106–121PubMedGoogle Scholar
  15. [15]
    Stocker J.T., Malczak H.T., A study of pulmonary ligament arteries: Relationchip to intralobar pulmonary sequestration, Chest. 1984, 86, 611–615PubMedCrossRefGoogle Scholar
  16. [16]
    Kaselas C., Papouis G., Grigoriadis G., Kaselas V., Secondary diaphragmatic eventration after resection of extralobar pulmonary sequestration, J Indian Assoc Pediatr Surg. 2007, 12, 92–93.CrossRefGoogle Scholar
  17. [17]
    Suda T., Hasegawa S., Negi K., Hattori Y., Videoassisted thoracoscopic surgery for extralobar pulmonary sequestration, J Thorac Cardiovasc Surg. 2006, 132, 707–708PubMedCrossRefGoogle Scholar

Copyright information

© Versita Warsaw and Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  • Milos Arsenijevic
    • 1
    • 2
  • Slobodanka Mitrovic
    • 1
    • 3
  • Milos Z. Milosavljevic
    • 3
  • Marina Petrovic
    • 1
    • 4
  • Predrag Djurdjevic
    • 1
    • 5
  • Slobodan Milisavljevic
    • 1
    • 2
  1. 1.Faculty of MedicineUniversity of KragujevacKragujevacSerbia
  2. 2.Department of General Thoracic SurgeryClinical Center KragujevacKragujevacSerbia
  3. 3.Department of PathologyClinical Center KragujevacKragujevacSerbia
  4. 4.Department of Pulmonary DiseaseClinical Center KragujevacKragujevacSerbia
  5. 5.Department of HematologyClinical Center KragujevacKragujevacSerbia

Personalised recommendations