雙側隔離肺合併肺過度充氣：病例報告

Bilateral Pulmonary Sequestration with Hyperaeration: Case Report

柯延昆(Yen-Kun Ko) ； 蕭建隆(Chien-Lung Hsiao) ； 林志鴻(Chih-Hung Lin) ； 李友仁(Yu-Jen Lee)

《內科學誌》 19卷6期 (2008/12) Pp. 527-530

https://doi.org/10.6314/JIMT.2008.19(6).11

摘要

隔離肺是一種少見的先天性肺部異常，經常發生在單側下肺葉基底的位置。發生在雙側的隔離肺的個案非常稀少。在這篇文章裡我們報告一位27歲男性因腹痛就醫，而意外發現無呼吸道臨床症狀的雙側隔離肺。病患的胸部X光及電腦斷層檢查有典型的變化，可作爲診斷的依據。因雙側隔離肺且合併肺局部過度充氣的病例報告非常的少，其治療方法以切除病灶爲唯一選擇，以預防感染、咳血以及未來可能產生的癌症變化，故在此提出討論。

關鍵字

隔離肺 ； 異位動脈 ； 電腦斷層

並列摘要

Pulmonary sequestration is a relative rare congenital abnormality. Mostly, this congenital lesion occurs mainly in the basal segments of the lower lobes and is more frequently unilateral. Bilateral pulmonary sequestration is a rare abnormality. We report a case of a 27-year-old male visited our hospital because of abdominal pain. He was found asymptomatic bilateral pulmonary sequestration within the lower lobes accidentally, which was confirmed by computed tomography. There are few reports in the literature about bilateral pulmonary sequestration with hyperaeration. The treatment of choice is complete excision of the lesion to prevent the tendency of infection, hemorrhage, and the long-term neoplastic changes.

並列關鍵字

Pulmonary sequestration ； Aberrant artery ； Computed tomography