Intralobar pulmonary sequestration with cystic degeneration mimicking a bronchogenic cyst in an elderly patient A case report and literature reviewopen access
- Authors
- Kim, Han Joon; Shin, Kyung Eun; Park, Jai Soung; Lee, Heon; Lee, Jae Wook; Chin, Susie; Shin, Hwa Kyun
- Issue Date
- Feb-2020
- Publisher
- Lippincott Williams & Wilkins Ltd.
- Keywords
- bronchogenic cyst; pulmonary sequestration; computed tomography; magnetic resonance imaging
- Citation
- Medicine, v.99, no.9
- Journal Title
- Medicine
- Volume
- 99
- Number
- 9
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/3127
- DOI
- 10.1097/MD.0000000000019347
- ISSN
- 0025-7974
1536-5964
- Abstract
- Introduction: Pulmonary sequestration (PS) is a rare congenital malformation defined as nonfunctioning lung tissue supplied by systemic circulation. It is uncommonly diagnosed in adults. Herein, we describe a clinical case of PS with cystic degeneration mimicking a bronchogenic cyst in an elderly patient. Patient concerns: A huge cystic mass was incidentally found in a 65-year-old man on chest computed tomography (CT) scans during preoperative workup for a hand laceration. A 15-cm-sized round cystic mass was detected in the right lower lobe. Diagnosis: After reviewing the chest CT scan. we decided to perform contrast-enhanced chest magnetic resonance imaging (MRI) and CT-guided lung aspiration biopsy. On MRI, the lesion had the appearance of a cystic mass with hemorrhagic clots, such as an intrapulmonary bronchogenic cyst. The aspirated specimen was nondiagnostic; thus, we decided to surgically remove the mass. Interventions: Upon right lower lobectomy, the mass was diagnosed as a PS. A thin systemic artery supplying the cystic mass was visualized during surgery. Outcomes: The patient is undergoing regular follow-up at the outpatient clinic. Conclusions: PS should be considered as a differential diagnosis in patients with a cystic lung mass. Identification of a systemic artery on radiologic imaging is important in the diagnosis of PS before preoperative workup to prevent unpredicted massive bleeding during surgery.
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Collections - College of Medicine > Department of Cardiovascular Surgery > 1. Journal Articles
- College of Medicine > Department of Pathology > 1. Journal Articles
- College of Medicine > Department of Radiology > 1. Journal Articles
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