Pulmonary sequestration in older child and in adults

Int Surg. 1992 Apr-Jun;77(2):102-7.

Abstract

Pulmonary sequestration is often found in children with recurrent pneumonia, but is not rare in adults. During the last 6 years (1985-1990), 6 patients with pulmonary sequestration were surgically treated. One 40-year-old patient had an extralobar sequestration, and 5 patients ranging in age from 14 to 26 years had an intralobar sequestration. The patient with extralobar sequestration was asymptomatic. In cases of intralobar sequestration, 4 patients were symptomatic. All 6 patients had an abnormal chest roentgenogram. Preoperative arteriography revealed anomalous blood supply came from a systemic artery in 4 patients. All cases with intralobar sequestration had a lower lobectomy, and one case with extralobar sequestration had an extirpation. Even in cases without any symptoms, there was the possibility of a microscopic infection in the sequestrated lesion with the occurrence of later symptoms. Therefore, patients diagnosed with pulmonary sequestration should be considered for surgical resection.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Adult
  • Bronchopulmonary Sequestration / diagnosis*
  • Bronchopulmonary Sequestration / diagnostic imaging
  • Bronchopulmonary Sequestration / pathology
  • Cysts / diagnostic imaging
  • Diagnosis, Differential
  • Diagnostic Techniques, Surgical
  • Female
  • Humans
  • Lung Diseases / diagnostic imaging
  • Male
  • Mediastinal Neoplasms / diagnostic imaging
  • Pulmonary Emphysema / diagnostic imaging
  • Radiography