A Case of Intralobar Pulmonary Sequestration Diagnosed Incidentally in a Geriatric Male

Abstract

Pulmonary sequestration is a rare congenital malformation of lung in which a part of the lung is supplied by an anomalous systemic blood supply from thoracic or abdominal aorta. This is a nonfunctioning lung tissue and lacks normal communication with tracheobronchial tree. It develops from accessory lung bud. If developed before pleura formation, it results in intralobar sequestration, and extralobar, if it develops after pleura formation. Usually Intralobar type of pulmonary sequestration presents in late childhood or adolescence with recurrent pulmonary infections. It is less commonly associated with foregut communication or associated anomalies, unlike the latter. Extra lobar type usually presents with respiratory distress while recurrent infections are less common. In the present case report a 76-year-old male patient was diagnosed with intralobar pulmonary sequestration. This patient was presented with recurrent respiratory infections with complaints of fever and cough with expectoration for one week. Previously the patient was misdiagnosed with recurrent pneumonia. Despite the age of patient, consideration of pulmonary sequestration as a differential diagnosis lead to investigations in that direction. This helped in prompt diagnosis and further plan of management. Misdiagnosis of this condition may have lead to development of complications like recurrent infections and abscess. These complications can be avoided by prompt surgical excisions which are curative. This case report was unique because it diagnosed pulmonary sequestration in a 76 years old patient who presented with recurrent pneumonia.

Keywords

• bronchopulmonary sequestration
• computed tomography angiography
• congenital anomaly
• recurrent pneumonia
• video assisted thoracic surgery