Pulmonary sequestration

Case contributed by Rogério Augusto Lima Guarneri
Diagnosis almost certain

Presentation

Antenatal ultrasound suggested the diagnosis of cystic adenomatoid malformation. Asymptomatic.

Patient Data

Age: 9 months
Gender: Female
ct

A mixed cystic and solid mass in the left lower lobe supplied by an abnormal artery branching from the lower thoracic aorta.

Case Discussion

Bronchopulmonary sequestration is a rare congenital malformation of the lower respiratory tract, that has no communication with the bronchial tree. The blood supply usually branches from the thoracic or abdominal aorta.

There are two forms of bronchopulmonary sequestration:

  • Intralobar sequestration is surrounded by normal lung tissue
  • Extralobar sequestration has its own pleural investment

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