A rare case of coexistent intralobar and extralobar pulmonary sequestration

• Authors: Milos Arsenijevic , Slobodanka Mitrovic , Milos Milosavljevic , Marina Petrovic , Predrag Djurdjevic , Slobodan Milisavljevic
• Languages of publication: EN

Abstracts

EN

In the pathology of respiratory tract, sequestration presents as a non-functional lung tissue with no communication with tracheobronchial tree. It represents a rare congenital bronchopulmonary and vascular malformation, which occurs at a frequency of 0.1 to 6%. Intralobar and extralobar sequestrations are extremely rare congenital anomalies, especially if they occur at the same time in a patient. Proper diagnosis and appropriate surgical therapy, in the absence of associated anomalies, provide an excellent prognosis. In this paper, we are describing the simultaneous presence of intralobar sequestration (ILS) in the lower lobe of the left lung and extralobar sequestration (ELS) which is positioned on the aortic arch, in a 53 years old man. Two years post surgery, there is no recurrence or any patomorphological and functional disorders in the respiratory tract.

Keywords

EN

Bronchopulmonary sequestration; Congenital abnormalities; Lung; Surgery

• Publisher: De Gruyter Open
• Journal: Open Medicine
• Year: 2013
• Volume: 8
• Issue: 1
• Pages: 103-106

Dates

published

1 - 2 - 2013

online

8 - 12 - 2012

Contributors

author

Milos Arsenijevic

author

Slobodanka Mitrovic

author

Milos Milosavljevic

• Department of Pathology, Clinical Center Kragujevac, 30 Zmaj Jovina Str., 34000, Kragujevac, Serbia

author

Marina Petrovic

author

Predrag Djurdjevic

author

Slobodan Milisavljevic

References

• [1] Halkic N., Cuenoud P.F., Corhésy M.E., Ksontini R., Boumghar M., Pulmonary sequestration: a review of 26 cases, Eur J Cardiothorac Surg. 1998, 14, 127–133 http://dx.doi.org/10.1016/S1010-7940(98)00154-7[Crossref]
• [2] Griffin N., Devaraj A., Goldstraw P., Bush A., Nicholson A.G., Padley S., CT and histopathological correlation of congenital cystic pulmonary lesions: a common pathogenesis?, Clin Radiol. 2008, 63, 995–1005 http://dx.doi.org/10.1016/j.crad.2008.02.011[WoS][Crossref]
• [3] Pryce D.M., Lower accessory pulmonary artery with intralobar sequestration of lung: A report of seven cases, J Pathol Bacteriol. 1946, 58, 457–467 http://dx.doi.org/10.1002/path.1700580316[Crossref]
• [4] Shibli M., Connery C., Shapiro JM., Intralobar and extralobar bronchopulmonary sequestration complicated by Nocardia asteroides infection, South Med J. 2003, 96, 78–80 http://dx.doi.org/10.1097/01.SMJ.0000048224.73476.EC[Crossref]
• [5] Bratu I., Flageole H., Chen M.F., Di Lorenzo M., Yazbeck S., Laberge J.M., The multiple facets of pulmonary sequestration, J Pediatr Surg. 2001, 36, 784–790 http://dx.doi.org/10.1053/jpsu.2001.22961[Crossref]
• [6] Savic B., Birtel F.J., Tholen W. et al. Lung sequestration: report of seven cases and review of 540 published cases, Thorax. 1979, 34, 96–101 http://dx.doi.org/10.1136/thx.34.1.96[Crossref]
• [7] Kestenholz P.B., Schneiter D., Hillinger S., Lardinois D. and Weder W., Thoracoscopic treatment of pulmonary sequestration, Eur J Cardiothorac Surg. 2006, 29, 815–818 http://dx.doi.org/10.1016/j.ejcts.2006.02.018[Crossref]
• [8] Van Raemdonck D., De Boeck K., Devlieger H., Demedts M., Moerman P., Coosemans W., Deneffe G., Lerut T., et al., Pulmonary sequestration: a comparison between pediatric and adult patients, Eur J Cardiothorac Surg. 2001, 19, 388–395 http://dx.doi.org/10.1016/S1010-7940(01)00603-0[Crossref]
• [9] Joy G.M., Abraham M.K., Bilateral communicating intralobar pulmonary sequestration, Indian Pediatr. 2005, 42, 729–730 [PubMed]
• [10] Lewis M.M., Tsou E., A 66-year-old man with dyspnea, left lower lobe infiltrate, and abnormal imaging, Chest. 2000, 117, 1782–1786 http://dx.doi.org/10.1378/chest.117.6.1782[Crossref]
• [11] Ikezoe J., Murayama S., Godwin J.D., Done S.L., Verschakelen J.A., Bronchopulmonary sequestration: CT assessment, Radiology. 1990, 176, 375–379
• [12] Prasad R., Garg R., Kumar Verma S., Intralobar seqestration of the lung, Lung India. 2009, 26, 159–161 http://dx.doi.org/10.4103/0970-2113.56357[Crossref]
• [13] Mendeloff E.N., Sequestrations, congenital cyctic adenomatic malformations, and congenital lobar emphysema, Semin Thorac Cardiovasc Surg. 2004, 16, 209–214 http://dx.doi.org/10.1053/j.semtcvs.2004.08.007[Crossref]
• [14] Stocker J.T., Sequestrations of the lung, Semin Diagn Pathol. 1986, 3, 106–121 [PubMed]
• [15] Stocker J.T., Malczak H.T., A study of pulmonary ligament arteries: Relationchip to intralobar pulmonary sequestration, Chest. 1984, 86, 611–615 http://dx.doi.org/10.1378/chest.86.4.611[Crossref]
• [16] Kaselas C., Papouis G., Grigoriadis G., Kaselas V., Secondary diaphragmatic eventration after resection of extralobar pulmonary sequestration, J Indian Assoc Pediatr Surg. 2007, 12, 92–93. http://dx.doi.org/10.4103/0971-9261.33232[Crossref]
• [17] Suda T., Hasegawa S., Negi K., Hattori Y., Videoassisted thoracoscopic surgery for extralobar pulmonary sequestration, J Thorac Cardiovasc Surg. 2006, 132, 707–708 http://dx.doi.org/10.1016/j.jtcvs.2006.02.060[Crossref]

Identifiers

DOI

10.2478/s11536-012-0090-0