An incidental and uncommon pulmonary sequestration with an uncommon feeding artery

Introduction: Pulmonary sequestration is a rare congenital anomaly and most intralobar sequestrations were located in lower lobes. There is little information on middle lobe intralobar sequestration.

Presentation of case: A 44 year-old man with right middle lobe syndrome was referred for surgical management. He underwent video-assisted thoracoscopic right middle lobectomy and his postoperative course was uneventful. Pathology is notable for an incidental intralobar sequestration.

Discussion: Our case was unique in that the location of incidental pulmonary sequestration is uncommon and in that its feeding artery was uncommonly located in the fissure.

Conclusion: We report an extremely rare case of right middle lobe intralobar sequestration with a feeding artery in the fissure.