Intralobar sequestration presenting as a large intrapulmonary hematoma and massive hemothorax.
Intralobar sequestration is a relatively rare anomaly that is usually diagnosed with symptoms of cough, expectoration, or recurrent pneumonia. We experienced a case of a 27-year-old man with a symptom of massive hemoptysis. His chest computed tomography (CT) scan revealed a large intrapulmonary hematoma and massive hemothorax, mimicking a benign lung tumor ruptured into the pleural cavity. We should keep the possibility of this anomaly in mind if a patient with hemoptysis has a cystic lung tumor and hemothorax on CT scan.
Tamura
Yamato
Y
Department of Thoracic and Cardiovascular Surgery, Nara Medical University School of Medicine, 840 Shijo-cho, Kashihara, Nara 634-8522, Japan. ytamura@naramed-u.ac.jp
Kushibe
Keiji
K
Tojo
Takashi
T
Takahama
Makoto
M
Kimura
Michitaka
M
Taniguchi
Shigeki
S
D000328:Adult; D001998:Bronchopulmonary Sequestration / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D006406:Hematoma / Q000209:etiology*; D006491:Hemothorax / Q000209:etiology*; D006801:Humans; D008175:Lung Neoplasms / Q000175:diagnosis; D008297:Male; D011859:Radiography