Pulmonary Sequestration Presenting as Chronic Intermittent Hemoptysis

游離肺合併慢性反覆咳血病例報告

周柏安(Po-An Chou) ； 陳友木(Yu-Mu Chen) ； 王金洲(Chin-Chao Wang) ； 高旭卿(Hsu-Ching Kao) ； 張雅淳(Ya-Chun Chang) ； 劉世豐(Shih-Feng Liu)

《胸腔醫學》 28卷4期 (2013/08) Pp. 253-259

摘要

一位28歲女性病患，本身無重大疾病史，本次因慢性反覆咳血五年而入院。病患接受胸部電腦斷層發現疑似游離肺及源自腹腔動脈幹的供應血流，病患接受右下肺及游離肺切除手術後，咳血問題已完全緩解。經由該病例可知胸部X光吳顯異常並不能排除游離肺之可能性，而慢性反覆咳血的原因可能單獨源自未發現的游離肺。

關鍵字

游離肺 ； 慢性咳血 ； 支氣管肺葉隔離

並列摘要

We reported a 28-year-old female patient with no systemic illness who presented with chronic intermittent hemoptysis for 5 years. Chest computed tomography revealed pulmonary sequestration with 1 feeding artery originating from the celiac trunk. Right lower lung lobectomy with pulmonary sequestration resection was performed, after which, the hemoptysis resolved. By presenting this case we hope to emphasize the concept that pulmonary sequestration cannot be excluded by a normal chest x-ray, and that pulmonary sequestration alone can be the cause of chronic intermittent hemoptysis in an otherwise asymptomatic patient. A review of the literature on pulmonary sequestration is also presented.

並列關鍵字

pulmonary sequestration ； chronic hemoptysis ； bronchopulmonary sequestration