Pulmonary sequestration mimicking lung cancer – A case report

Tatjana N. Adzić; Dragan V. Radovanović; Bojana D. Aćimović; Marko P. Popović

doi:10.2298/VSP150603129A

Tatjana N. Adzić Klinika za pulmologiju,Klinički Centar Srbije,Višegradska 26, 11000 Belgrade,Serbia
Dragan V. Radovanović Faculty of Medicine, University of Belgrade, Belgrade, Serbia;Clinic for Thoracic Surgery, Clinical Center of Serbia, Belgrade, Serbia
Bojana D. Aćimović Clinic for Pulmonology, Clinical Center of Serbia, Belgrade, Serbia
Marko P. Popović Clinic for Thoracic Surgery, Clinical Center of Serbia, Belgrade, Serbia

DOI: https://doi.org/10.2298/VSP150603129A

Keywords: bronchopulmonary sequestration, diagnostic techniques and procedures, diagnosis, differential, thoracic surgical procedures,

Abstract

Introduction. Pulmonary sequestration is a rare congenital anomaly and most intralobar sequestrations were located in lower lobes. Case report. We reported an unusual 28-year-old female patient with intralobar pulmonary sequestration on the left lower lobe, successfully treated with lobectomy. Computed tomography (CT) of the chest with intravenous contrast revealed multiple clustered cystic lesions in the left lower lobe with aberrant artery from descedenting aorta. Additional aortography showed an aberrant artery (3 mm in diameter) arising from the abdominal aorta and flowing into the lesion. Conclusion. Standard therapy regimen for pulmonary sequestration includes surgery. CT scan of thorax with intravenous contrast and aortography represent the gold standard for its diagnosis. Tumor-like shadows seen on the chest radiography or CT scans should not be always suspected on malignant lesions.

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