Intralobar Bronchopulmonary Sequestration with Bronchial Communication

Autor: Zelefsky, Melvin N., Janis, Michel, Bernstein, Robert, Blatt, Charles, Lin, Albert, Meng, Chein-Hsing
Zdroj: Chest; March 1971, Vol. 59 Issue: 3 p266-270, 5p
Abstrakt: Surgical resection in unsuspected intralobar sequestration can result in fatal hemorrhagic complications. The roentgen criteria for establishing this diagnosis are: 1) chronic and recurrent pulmonary infiltrate; 2) most often located in basilar segments of the lower lobes; 3) multiple cystic areas; 4) failure of contrast media to enter the cystic area during bronchography. We studied two cases of intralobar sequestration where on bronchography the contrast medium entered the cystic areas. To our knowledge only four other similar cases are reported in the literature. In our cases the preoperative diagnosis was confirmed by aortography. Since the roentgenographic and bronchographic findings alone would have suggested the possibility of cystic bronchiectasis, the importance of aortography is stressed.
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