A synchronous resected case of adult bilateral intralobar pulmonary sequestration

• Published in: Nihon Kokyuki Geka Gakkai zasshi (Kyoto, 1992) Vol. 20; no. 5; pp. 729 - 734
• Main Authors: Tsukioka, Takuma, Inoue, Kiyotoshi, Iwata, Takashi, Izumi, Nobuhiro, Mizuguchi, Shinjiro, Morita, Ryuhei, Suehiro, Shigehumi
• Format: Journal Article
• Language: English
• Published: The Japanese Association for Chest Surgery 15.07.2006
• Subjects: bilateral intralobar pulmonary sequestration; CA19-9; hemoptysis; synchronous resection
• ISSN: 0919-0945; 1881-4158
• DOI: 10.2995/jacsurg.20.729

A 52-year-old man with recurrent hemoptysis and a bronchopulmonary infectious disease was admitted to our hospital. He had severe hemoptysis and bronchial artery embolization was performed. At that time, abnormal vessels supplying the right middle lobe and lingula were detected. On another day, an angiography was performed, which revealed four abnormal vessels, from the right internal thoracic artery and the right inferior phrenic artery supplying the right middle lobe and from the left gastric artery and the left inferior phrenic artery supplying the lingula. A chest computed tomographic scan revealed dilatation of the bronchi in the right middle lobe and lingula. Bilateral intralobar pulmonary sequestration was diagnosed. A laboratory examination revealed that the serum carbohydrate antigen 19-9 (CA19-9) level was high. His respiratory function was normal and a synchronous resection was performed. Right middle lobectomy and resection of the lingula were performed through a bilateral axillary thoracotomy. The abnormal vessels could be detected in the bilateral pulmonary ligament and mediastinal pleura and were all ligated and resected. After the operation, the symptoms disappeared and he was discharged on POD 29. A bilateral intralobar pulmonary sequestration is rare. Only eight cases have been reported, but none have described a synchronous resection case. This is the first reported case of a synchronous resection for a bilateral intralobar pulmonary sequestration.