Persistant Right Lower Lobe Consolidation

Torreggiani, William C.; Logan, P M; McElvaney, Noel G.

doi:10.1378/chest.117.2.588

Cited by 4 publications

(6 citation statements)

References 4 publications

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“…In contrast, intralobar bronchopulmonary sequestration (as in the present case) is more common, accounting for 75% to 86% of cases (1,2). It is covered by the visceral pleura of the affected pulmonary lobe and does not communicate with the bronchial tree.…”

Section: Discussionmentioning

confidence: 48%

“…It has its own visceral pleural covering and usually manifests in neonates, with 60% presenting within the first six months. It occurs more commonly on the left side, particularly between the diaphragm and the left lower lobe, and is associated with other congenital abnormalities, including cardiac, diaphragmatic and pulmonary abnormalities, in 15% to 65% of cases (2). It has a systemic arterial blood supply usually arising from the aorta, and it drains via systemic veins, most commonly via the inferior vena cava, azygous or hemiazygous veins.…”

Section: Discussionmentioning

confidence: 99%

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An Unusual Pulmonary Condition Presenting following Trauma

Turkington

McAteer

Convery

2006

Canadian Respiratory Journal

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An 18-year-old man presented to the emergency department following an assault. He complained of left-sided pleuritic chest pain and difficulty breathing. Clinical examination revealed reduced air entry and coarse crepitations at the left lung base. A chest x-ray showed a large opacity at the left lung base that contained multiple cystic areas with air-fluid levels. Due to the history of trauma, a provisional diagnosis of a ruptured hemidiaphragm with small bowel herniation was made. Further imaging, including ultrasound, spiral computed tomography and magnetic resonance angiography, showed an aberrant vessel supplying the opacity and drainage into the pulmonary venous system. A diagnosis of a bronchopulmonary sequestration (intralobar type) was made. The differential diagnosis of the radiographic appearance is also discussed.

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Section: Discussionmentioning

confidence: 48%

Section: Discussionmentioning

confidence: 99%

An Unusual Pulmonary Condition Presenting following Trauma

Turkington

McAteer

Convery

2006

Canadian Respiratory Journal

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“…The latter objective is particularly important in the planning of operative approach to the lesion. In the past, imaging strategies for sequestrations included mainly bronchography and arteriography: the first procedure has long been abandoned for safety reasons, while invasive arteriography has represented the reference preoperative procedure [12,13] since it allows the detection of the abnormal arterial supply [12,14]. The advantage of angiography is that it provides detailed characteristic of abnormal artery (origin, course, diameter, tortuousness).…”

Section: Discussionmentioning

confidence: 99%

Non-invasive diagnosis in a case of bronchopulmonary sequestration and proposal of diagnostic algorhythm

Caradonna

Bellia

Cannizzaro

et al. 2016

Monaldi Arch Chest Dis

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The case of a 43-year-old woman with intralobar pulmonary sequestration, Pryce type one, is presented. The medical history was characterised by recurrent bronchopneumonia, productive cough with purulent sputum and hemoptysis in the last three years. Diagnosis was made by CT angiography: multiplanar, maximum intensity projection and volume rendering reconstructions were visualised. A volume reduction of middle and lower lobe with multiple cyst-like bronchiectasis was detected and no evident relationship with tracheobronchial tree was pointed out. Reconstructions aimed at evaluating bronchial structures demonstrated no patency of middle and lower lobar bronchi. The study carried out after contrast medium infusion in arterial phase showed a vascular disorder characterised by an accessory arterial branch arising from the upper portion of thoracic aorta which, after moving caudally to pulmonary hilus with a tortuous course, supplied the atelectatic parenchyma. No anomalous venous drainage was detected. The patient underwent surgery with resection of two pulmonary lobes. CT compares favourably with other alternative imaging technique for pulmonary sequestration as multiplanar reconstructions allow not only the detection of supplying vessel, but also the accurate description of heterogeneous characteristics of the mass and adjacent structures. Finally an imaging-based diagnostic algorhithm is proposed.

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“…Heart failure and hemoptysis are other known complications (14,15). The diagnosis of pulmonary sequestration is confirmed using imaging modalities, such as angiography, computed tomography (CT), MRI, ultrasonography (US), and chest radiographs (CR) (16). CR will often show an opacity in the affected segment, while CT shows an irregular cystic component in the mass.…”

Section: Discussionmentioning

confidence: 99%

Extralobar Pulmonary Sequestration in a Neonate

Öztürk¹,

Göksügür²,

Dağıstan³

et al. 2015

Istanbul Med J

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Congenital pulmonary sequestration (CPS) is a type of thoracic malformation that may be represented as a solid or cystic mass composed of nonfunctioning primitive tissue. It does not interact with the tracheobronchial tree and has unusual systemic blood supply. Various congenital malformations may be presented with CPS. More than one-half of CPS cases are diagnosed in later childhood or even in adulthood. Neonates and infants are usually asymptomatic, and they are usually diagnosed due to the presence of other congenital anomalies. Here, we report a 5-day-old neonate who was admitted to our clinic with respiratory distress. CPS was diagnosed without any other malformation.

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Persistant Right Lower Lobe Consolidation

Cited by 4 publications

References 4 publications

An Unusual Pulmonary Condition Presenting following Trauma

An Unusual Pulmonary Condition Presenting following Trauma

Non-invasive diagnosis in a case of bronchopulmonary sequestration and proposal of diagnostic algorhythm

Extralobar Pulmonary Sequestration in a Neonate

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