A resected case of intralobar pulmonary sequestration showing rapid enlargement due to intrabronchial hemorrhage

Otsuka, Hajime; Hata, Yoshinobu; Sasamoto, Shigemi; Mitsuida, Aki; Shibuya, Kazutoshi; Takagi, Keigo

doi:10.2995/jacsurg.24.720

Cited by 2 publications

(2 citation statements)

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“…The most common symptoms are cough, expectoration and recurrent respiratory infection, all of which become more severe with time [3]. Haemothorax and intrapulmonary haemorrhage caused by pulmonary sequestration are rather rare presentations [1,4].…”

Section: Discussionmentioning

confidence: 99%

“…Angiography is still a useful procedure for diagnosing and evaluating sequestrations. Recently, spiral CT angiography has been used as a particularly effective and less invasive technique and has the potential to be the first choice in the diagnosis and assessment of pulmonary sequestration; however, several reports state that small anomalous vessels <5 mm in diameter can be difficult to detect using this method [4].…”

Section: Discussionmentioning

confidence: 99%

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Emergency laparotomy helped the resection of an intralobar pulmonary sequestration with haemorrhagic shock

Yoshitake

Hayashi

Osada³

et al. 2012

European Journal of Cardio-Thoracic Surgery

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Massive intrapulmonary haemorrhage and haemothorax are uncommon presentations associated with pulmonary sequestration. Here, we describe the case of a 40-year-old man who suffered from high fever and haemoptysis for 1 week before he was admitted to our hospital with a complaint of chest discomfort with shock. Computed tomography revealed that pulmonary sequestration supplied from the coeliac artery with persistent bleeding. The patient underwent right lower lobectomy and an emergent laparotomy for ligation of the aberrant artery. A pulmonary sequestration has a severe complication resulting in shock due to intrapulmonary haemorrhage and haemothorax. Accordingly, early resection of a sequestered lung should be the choice of the treatment in these cases.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%