Intralobar pulmonary sequestration: diagnostic expertise

• Autor(a) principal: Sotto-Mayor, J
• Data de Publicação: 2015
• Outros Autores: Rocha, D, Esperança, S, Oliveira e Silva, A
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: http://hdl.handle.net/10400.23/1094
• topic: Sequestro Broncopulmonar; Dor no Peito; Infecções Comunitárias Adquiridas; Tosse; Febre; Pneumonia; Pneumonia

An obese 22-year-old man with a history of recurrent respiratory infections presented to the emergency room with left pleuritic chest pain, productive cough with mucupurulent sputum and an axillary temperature of 37.7°C. Blood work showed elevated inflammatory parameters and chest X-ray was relevant for heterogeneous infiltration in the left base and opacity of the left costophrenic angle. An angio-CT scan revealed areas of bilateral consolidation with presence of an arterial branch originating from the aorta to the collected area of the left lower lobe, consistent with a respiratory infection grafted on a intralobar pulmonary sequestration of the left lung base. The infectious process was treated and the patient was planned for a lower left lobectomy.