1 / 18

Final Diagnosis

Final Diagnosis. Intralobar Pulmonary Sequestration. 8/15/2005. History of recurrent pneumonia. Surgical Report. Intralobar Pulmonary Sequestration, treated with right lower lobectomy Two major arteries from the thoracic aorta Large vein draining sequestered lobe.

benoit
Download Presentation

Final Diagnosis

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Final Diagnosis Intralobar Pulmonary Sequestration

  2. 8/15/2005

  3. History of recurrent pneumonia

  4. Surgical Report • Intralobar Pulmonary Sequestration, treated with right lower lobectomy • Two major arteries from the thoracic aorta • Large vein draining sequestered lobe

  5. Bronchopulmonary Sequestration Definition • Non-functioning lung tissue • Separated from normal bronchial tree • Vascularized by a systemic artery Two Forms • Intralobar (ILS): within the visceral pleura • Extralobar (ELS): separated from the lung by its own pleura

  6. Intralobar Pulmonary Sequestration (ILS) Characteristics • More common type • May present at any age • Generally as recurrent infection • No sexual predominance • Almost exclusively affects lower lobe • Arterial supply: descending aorta • Venous drainage: pulmonary veins

  7. Etiology of Bronchopulmonary Sequestration • Accessory bud that forms caudal to lung buds • Traction theory • Postnatal formation

  8. Pulmonary SequestrationComplications • Recurrent infection • Heart failure • Intralobar malignancy

  9. Treatment of Pulmonary Sequestration Symptomatic Disease • Surgery: lobectomy or segmental resection • Arterial embolization

  10. Patient Follow-up • Given granulomas and acid fast bacilli, sputum was sent for culture. Three sputum samples were negative for acid fast bacilli. A ppd was placed and was also negative. • Patient was treated empirically with IRPE for four months.

More Related