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Published byRaymond Wade Modified over 9 years ago
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Final Diagnosis Intralobar Pulmonary Sequestration
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8/15/2005
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History of recurrent pneumonia
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Surgical Report Intralobar Pulmonary Sequestration, treated with right lower lobectomy Two major arteries from the thoracic aorta Large vein draining sequestered lobe
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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
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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
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Etiology of Bronchopulmonary Sequestration Accessory bud that forms caudal to lung buds Traction theory Postnatal formation
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Pulmonary Sequestration Complications Recurrent infection Heart failure Intralobar malignancy
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Treatment of Pulmonary Sequestration Symptomatic Disease Surgery: lobectomy or segmental resection Arterial embolization
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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.
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