Intralobar Pulmonary Sequestration with an Aberrant Feeding Artery Arising from the Celiac Trunk-A Case Report and Literature Review

Cheng-Hao Chuang ； Chih-Hung Cheng ； Yu-Chen Tsai ； Ming-Ju Tsai ； Jen-Yu Hung

《胸腔醫學》 37卷1期 (2022/03) Pp. 33-37

摘要

Pulmonary sequestration is an uncommon hereditary pulmonary anomaly that is classified into intralobar and extralobar types, based on whether it is coated with an independent visceral pleura. In patients with the intralobar type, there is abnormal communication with the normal respiratory tract, which easily leads to bacterial infection with clinical symptoms. We report a 25-year-old man who presented with pneumonia in the left lower lung. Tracing back his history, no systemic disease or risk factor for immunodeficiency was present, but he had repeatedly developed pneumonia in the left lower lung. Although his condition improved with antibiotic treatment, the follow-up chest radiograph showed slow improvement of the consolidation in the left lower lung. Computed tomography of the chest with contrast enhancement disclosed intralobar pulmonary sequestration with an aberrant feeding artery arising from the celiac trunk. The patient was treated surgically and had an uneventful recovery without further infection. Our case highlights the importance of an awareness of the presence of anatomical anomalies when physicians treat patients with recurrent pneumonia.

關鍵字

pulmonary sequestration ； celiac trunk ； intralobar type