title: Surgical treatment of infected intralobar pulmonary sequestration: a collective review of patients older than 50 years reported in the literature.
abstract: We report on the rare and surgical treatment of a senile patient of infected intralobar pulmonary sequestration. A 56-year-old male who had complained of headache, vomiting, cough, sputum production, and high fever was admitted to our hospital. Chest computed tomography (CT) showed an infected intralobar pulmonary sequestration as an 8x6 cm cystic mass with multiple air-fluid cavities in the left lower basal segment and severe pneumonia in the left upper and lower lobes around the mass. A 3-D CT showed an aberrant artery entering the consolidation from the descending aorta. A standard lower lobectomy was performed with a ligation of the aberrant artery with a diameter of 1 cm supplying the posterior segment of the left lower lobe. A histological examination of the lung revealed acute and chronic broncho-bronchiolitis with cystic dilatation consistent with intralobar pulmonary sequestration. We discuss the characters of senile patients compared with juvenile patients, with reference to a collective review of patients older than 50 reported in the literature.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Hiroshima Prefectural Hospital, Hiroshima, Japan.
authors.forename: Shinji
authors.initials: S
authors.lastname: Hirai
authors.forename: Yoshiharu
authors.initials: Y
authors.lastname: Hamanaka
authors.forename: Norimasa
authors.initials: N
authors.lastname: Mitsui
authors.forename: Shinnosuke
authors.initials: S
authors.lastname: Uegami
authors.forename: Yousuke
authors.initials: Y
authors.lastname: Matsuura
mesh_terms: D001998:Bronchopulmonary Sequestration / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed