An unusual cause of spontaneous pneumothorax

• Published in: BMJ case reports Vol. 2011; no. apr27 1; p. bcr0820103209
• Main Authors: Spyratos, Dionisios, Kalpakidis, Vasilios, Giouleka, Paschalina, Chloros, Diamantis, Sichletidis, Lazaros
• Format: Journal Article
• Language: English
• Published: England BMJ Publishing Group LTD 03.05.2011; BMJ Publishing Group
• Series: Unusual association of diseases/symptoms
• Subjects: Adult; Bronchopulmonary Sequestration - complications; Bronchopulmonary Sequestration - diagnosis; Bronchopulmonary Sequestration - diagnostic imaging; Chest tubes; Coronary vessels; Cysts; Europe (East); Hospitals; Humans; Infections; Lung - diagnostic imaging; Male; Medical imaging; Patients; Pleural Cavity - diagnostic imaging; Pneumonia; Pneumothorax; Pneumothorax - diagnosis; Pneumothorax - diagnostic imaging; Pneumothorax - etiology; Thoracic surgery; Tomography, X-Ray Computed; Unusual Association of Diseases/Symptoms; White; Young adults; Greece
• ISSN: 1757-790X; 1757-790X
• DOI: 10.1136/bcr.08.2010.3209

Bronchopulmonary sequestration is a congenital pulmonary malformation consisting of a non-functioning region of lung parenchyma that receives systemic arterial blood supply. The authors present the case of a 31-year-old male who presented with spontaneous pneumothorax as the initial clinical manifestation of an intralobar bronchopulmonary sequestration. There was a persistent air leak through the chest tube which remained in the pleural cavity for 12 days. CT revealed an area of increased opacity, with focal calcifications and a small eccentric cavity in the posterior basal region of the left lower lobe. Aortography established the final diagnosis.