![Page 1: Final Diagnosis Intralobar Pulmonary Sequestration](https://reader036.vdocuments.mx/reader036/viewer/2022062720/56649f115503460f94c24b4c/html5/thumbnails/1.jpg)
Final Diagnosis
Intralobar Pulmonary Sequestration
![Page 2: Final Diagnosis Intralobar Pulmonary Sequestration](https://reader036.vdocuments.mx/reader036/viewer/2022062720/56649f115503460f94c24b4c/html5/thumbnails/2.jpg)
8/15/2005
![Page 3: Final Diagnosis Intralobar Pulmonary Sequestration](https://reader036.vdocuments.mx/reader036/viewer/2022062720/56649f115503460f94c24b4c/html5/thumbnails/3.jpg)
![Page 4: Final Diagnosis Intralobar Pulmonary Sequestration](https://reader036.vdocuments.mx/reader036/viewer/2022062720/56649f115503460f94c24b4c/html5/thumbnails/4.jpg)
![Page 5: Final Diagnosis Intralobar Pulmonary Sequestration](https://reader036.vdocuments.mx/reader036/viewer/2022062720/56649f115503460f94c24b4c/html5/thumbnails/5.jpg)
History of recurrent pneumonia
![Page 6: Final Diagnosis Intralobar Pulmonary Sequestration](https://reader036.vdocuments.mx/reader036/viewer/2022062720/56649f115503460f94c24b4c/html5/thumbnails/6.jpg)
Surgical Report
• Intralobar Pulmonary Sequestration, treated with right lower lobectomy
• Two major arteries from the thoracic aorta• Large vein draining sequestered lobe
![Page 7: Final Diagnosis Intralobar Pulmonary Sequestration](https://reader036.vdocuments.mx/reader036/viewer/2022062720/56649f115503460f94c24b4c/html5/thumbnails/7.jpg)
![Page 8: Final Diagnosis Intralobar Pulmonary Sequestration](https://reader036.vdocuments.mx/reader036/viewer/2022062720/56649f115503460f94c24b4c/html5/thumbnails/8.jpg)
![Page 9: Final Diagnosis Intralobar Pulmonary Sequestration](https://reader036.vdocuments.mx/reader036/viewer/2022062720/56649f115503460f94c24b4c/html5/thumbnails/9.jpg)
![Page 10: Final Diagnosis Intralobar Pulmonary Sequestration](https://reader036.vdocuments.mx/reader036/viewer/2022062720/56649f115503460f94c24b4c/html5/thumbnails/10.jpg)
![Page 11: Final Diagnosis Intralobar Pulmonary Sequestration](https://reader036.vdocuments.mx/reader036/viewer/2022062720/56649f115503460f94c24b4c/html5/thumbnails/11.jpg)
![Page 12: Final Diagnosis Intralobar Pulmonary Sequestration](https://reader036.vdocuments.mx/reader036/viewer/2022062720/56649f115503460f94c24b4c/html5/thumbnails/12.jpg)
![Page 13: Final Diagnosis Intralobar Pulmonary Sequestration](https://reader036.vdocuments.mx/reader036/viewer/2022062720/56649f115503460f94c24b4c/html5/thumbnails/13.jpg)
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
![Page 14: Final Diagnosis Intralobar Pulmonary Sequestration](https://reader036.vdocuments.mx/reader036/viewer/2022062720/56649f115503460f94c24b4c/html5/thumbnails/14.jpg)
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
![Page 15: Final Diagnosis Intralobar Pulmonary Sequestration](https://reader036.vdocuments.mx/reader036/viewer/2022062720/56649f115503460f94c24b4c/html5/thumbnails/15.jpg)
Etiology of Bronchopulmonary
Sequestration
• Accessory bud that forms caudal to lung buds• Traction theory• Postnatal formation
![Page 16: Final Diagnosis Intralobar Pulmonary Sequestration](https://reader036.vdocuments.mx/reader036/viewer/2022062720/56649f115503460f94c24b4c/html5/thumbnails/16.jpg)
Pulmonary SequestrationComplications
• Recurrent infection
• Heart failure
• Intralobar malignancy
![Page 17: Final Diagnosis Intralobar Pulmonary Sequestration](https://reader036.vdocuments.mx/reader036/viewer/2022062720/56649f115503460f94c24b4c/html5/thumbnails/17.jpg)
Treatment of Pulmonary Sequestration
Symptomatic Disease
• Surgery: lobectomy or segmental resection
• Arterial embolization
![Page 18: Final Diagnosis Intralobar Pulmonary Sequestration](https://reader036.vdocuments.mx/reader036/viewer/2022062720/56649f115503460f94c24b4c/html5/thumbnails/18.jpg)
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.