An Unusual Case of Lung Consolidation: Thinking Beyond Pneumonia

Kanwar, Siddak S.; Downey, Sophia A.; Tandon, Yasmeen K.

doi:10.1016/j.amjmed.2020.08.029

Cited by 1 publication

(2 citation statements)

References 17 publications

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Section: Discussionmentioning

confidence: 99%

“…Compared with the previous diagnosis of pulmonary sequestration by digital subtraction angiography, the current diagnosis of pulmonary sequestration is mainly through chest enhanced CT combined with three‐dimensional vascular reconstruction technology, which can accurately display the course and branch of the feeding artery and the relationship with the mass. 13 , 20 , 21 Chest CT manifestations of pulmonary sequestration are mainly divided into cystic, cystic‐solid, and solid masses, among which mass‐solid masses are the most common. 22 , 23 In this study, seven cases (53.85%) showed a solid mass with uniform density and clear boundaries, three cases (23.08%) showed cystic shadows, two cases (15.38%) showed patchy dense shadows, and one case (7.69%) showed a patchy increased density shadow, showing ground glass‐like changes.…”

Section: Discussionmentioning

confidence: 99%

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Imaging and pathological characteristics, treatment, and prognosis of pulmonary sequestration—A retrospective study of 13 cases

Liu

Zhu

et al. 2023

Clinical Respiratory J

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ObjectiveThis study aimed to summarize and analyze the characteristics of pulmonary sequestration to improve our understanding of this disease.MethodsBetween January 2019 and April 2023, the clinical data of 13 patients with pulmonary sequestration underwent surgical treatment at the First Affiliated Hospital of Gannan Medical University.ResultsThe male‐to‐female ratio was 4:9, the age was 0.5 to 60 years, and the average age was 38 ± 19 years. There were 10 and 3 cases of intralobar and extralobar pulmonary sequestration, respectively. Chest enhanced computed tomography (CT) and three‐dimensional vascular reconstruction showed that the abnormal blood vessels were derived from the descending thoracic aorta in nine cases and from other blood vessels in four cases. Three patients underwent thoracoscopic lobectomy, two underwent thoracoscopic segmentectomy, and eight underwent thoracoscopic wedge resection. All the patients successfully completed the surgery and were discharged postoperatively.ConclusionsSome patients with pulmonary sequestration exhibit no obvious symptoms. Patients with clinical symptoms are easily confused for pneumonia, bronchial cysts, lung abscesses, and lung tumors; therefore, patients with pulmonary sequestration are prone to missed diagnosis and misdiagnosis. Currently, enhanced chest CT combined with three‐dimensional vascular reconstruction can accurately show the course, branches, and relationship with the mass of the feeding artery. Routine pathological examination is helpful to further clarify the diagnosis of pulmonary sequestration. Minimally invasive thoracoscopic surgery is the preferred treatment for patients with pulmonary sequestration. Surgical resection is safe and feasible, and satisfactory results are typically obtained.

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Section: Discussionmentioning

confidence: 99%