Extralobar pulmonary sequestration with hemothorax secondary to pulmonary infarction.
Pulmonary sequestration is an uncommon condition that accounts for 0.5-6% of all pulmonary malformations and is typically diagnosed in childhood. Of the two forms of pulmonary sequestration, intralobar and extralobar, the latter is less frequently encountered. The current report describes the case of a 32-year-old female patient with chest and abdominal pain. Imaging (chest X-rays and CT scans of the chest) revealed consolidation and pleural effusion. The initial thoracocentesis revealed hemothorax. Subsequent diagnostic video-assisted thoracoscopy revealed extralobar pulmonary sequestration. Consequently, the therapeutic decision was to make the conversion to thoracotomy in order to resect the lesion and safely ligate the intercostal vascular pedicle.
Pinto Filho
Darcy Ribeiro
DR
Serviço de Cirurgia Torácica, Hospital Geral de Caxias do Sul, Fundação Universidade de Caxias do Sul, RS, Brazil. darcyrp@terra.com.br
Avino
Alexandre José Gonçalves
AJ
Brandão
Suzan Lúcia Brancher
SL
D000328:Adult; D001998:Bronchopulmonary Sequestration / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D006491:Hemothorax / Q000175:diagnosis*; D006801:Humans; D054060:Pulmonary Infarction / Q000150:complications*; D013906:Thoracoscopy