pulmonary secuetration
of 1
Transcript of pulmonary secuetration
-
8/16/2019 pulmonary secuetration
1/1
images in clinical medicine
T he n e w e n g l a n d j o u r n a l o f medicine
n engl j med 368;5 nejm.org january 31, 2013e6
A9-year-old boy with a history of a lung lesion suspected to be a
pulmonary sequestration or a congenital cystic adenomatoid malformation
presented to the emergency department with fever and chest pain. A chest
radiograph (Panel A) showed a large opacity in the right lung, abutting the minor
fissure and displacing it downward. Computed tomography of the chest revealed a
large heterogeneous mass with scattered areas of low attenuation, suggesting mu-
cous impaction, and a single large systemic artery (Panel B, arrow) providing vas-
cular supply from the descending aorta. No air bronchograms were evident within
the mass. A vein arising from the posterior portion of the mass drained into the
right superior pulmonary vein (Panel C, arrow). The patient underwent a right upper
lobectomy. Pulmonary sequestration is a congenital disorder characterized by anom-alous lung tissue that lacks normal communication with the tracheobronchial tree,
which increases the likelihood of infection. The patient recovered without compli-
cations and since the operation has had no further pulmonary problems.
DOI: 10.1056/NEJMicm1206677
Copyright © 2013 Massachusetts Medical Society.
Pulmonary Sequestration
Shailvi Gupta, M.D.
University of California, San Francisco–East Bay
Oakland, CA
Sunghoon Kim, M.D.
Children’s Hospital and ResearchCenter Oakland
Oakland, [email protected]
A B C
l
The New England Journal of Medicine
Downloaded from nejm.org on May 24, 2016. For personal use only. No other uses without permission.
Copyright © 2013 Massachusetts Medical Society. All rights reserved.
